Individual
TONYA EAGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8733
Mailing address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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