Regina Kay Eagle

NPI #1275170227 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1275170227
Entity Type: Individual
Name: Regina Kay Eagle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 3001 WARRIOR LANE
City: Poplar Bluff
State: Missouri
ZIP Code: 63901
Phone: (573) 686-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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