Individual
MRS. ANITA LEE EAGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
50 QUISISANA DRIVE, KENTFIELD, CA 94904-1522
(415) 454-5955
(415) 454-3241
Mailing address
50 QUISISANA DRIVE, KENTFIELD, CA 94904-1522
(415) 454-5955
(415) 454-3241
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC8238
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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