Individual
LACEY ANN EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1753 E 8TH AVE, MESA, AZ 85204-3617
(801) 856-4342
Mailing address
4255 E PECOS RD APT 1043, GILBERT, AZ 85295-7845
(801) 856-4342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7868
AZ
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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