Individual
MRS. ADRIENNE LACHELLE EAGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9167 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1420
(314) 521-7900
(314) 521-2786
Mailing address
44 WELLINGTON DOWNS DR, DARDENNE PRAIRIE, MO 63368-7331
(636) 240-6506
(636) 294-4132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002027324
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183974
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/30/2006
Last updated
07/09/2007
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