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Individual

CHRISTINA MARY EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
15 FAST LN, SEALE, AL 36875-4841
(516) 241-1811
Mailing address
15 FAST LN, SEALE, AL 36875-4841
(516) 241-1811

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LSW-2586
HI

Other

Enumeration date
04/29/2020
Last updated
04/29/2020
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