Individual
MRS. ALEXIS M EGGENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, LISW-S, BCBA
Contact information
Practice address
2105 LAWRENCE AVE, TOLEDO, OH 43606-4822
(419) 291-7031
Mailing address
14075 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-5734
(419) 704-3408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-17072
—
1041C0700X
Clinical Social Worker
Primary
I.1303111
OH
Other
Enumeration date
05/18/2011
Last updated
05/05/2022
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