Individual
CALLEENE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 INDIANA ST, SAN FRANCISCO, CA 94107-3406
(415) 282-9675
Mailing address
1234 INDIANA ST, SAN FRANCISCO, CA 94107-3406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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