Individual
LISA EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
107 CORNWALL LN, CHARLESTON, WV 25314-2493
(304) 744-4285
Mailing address
107 CORNWALL LN, CHARLESTON, WV 25314-2493
(304) 744-4285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09144407
WV
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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