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Individual

MS. PRISCILLA W. EGGLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 INDEPENDENCE PLZ, SUITE 716, HOMEWOOD, AL 35209-2629
(205) 871-0031
(205) 803-1280
Mailing address
3325 LORNA RD # 2-339, BIRMINGHAM, AL 35216-7404
(205) 999-4335
(205) 803-1280

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0411C
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51522813
BLUECROSS/BLUESHIELD
AL
01
630917523-005
TRICARE
AL
Enumeration date
10/25/2006
Last updated
07/08/2007
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