Mary V Eagen

NPI #1497936181 in Ridgway, Pennsylvania

Provider Information

NPI Number: 1497936181
Entity Type: Individual
Name: Mary V Eagen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 21, 2007
Last Updated: Nov 21, 2007

Practice Location

Address: 110 LINCOLN ST
City: Ridgway
State: Pennsylvania
ZIP Code: 15853-1939
Phone: (814) 776-2145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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