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1639583115
KELLY EGGIMANN
SHAWNEE, KS
NPI
1639583115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 295)
Enumeration Date
2014-06-12
Last Update Date
2014-06-12
Business Address
-- KELLY EGGIMANN LAC
12510 W 62ND TER SUITE 109
SHAWNEE, KS 66216-1802
Phone number: 913-766-1587
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Mailing Address
-- KELLY EGGIMANN LAC
130 E 5TH ST PO BOX 711
NEWTON, KS 67114-2206
Phone number: 316-283-6743
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