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Individual

DR. JEAN R. EAGLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 466-0135
Mailing address
PO BOX 1161, LA CONNER, WA 98257-1161

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PY 3425
WA

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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