Most Relevant Information
Provider Data
| NPI Number: | 1003209172 |
| Provider Name: | TINA EGAN CPSS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2015 |
| Last Updated: | 03/12/2015 |
Provider Practice Location
610 S BURDICK ST
KALAMAZOO
MI
490075221
Practice Location Phone/Fax
| Phone: | 2693813700 |
| Fax: | 2693813810 |
Provider Mailing Location
610 S BURDICK ST
KALAMAZOO
MI
490075221
Provider Mailing Phone/Fax
| Phone: | 2693813700 |
| Fax: | 2693813810 |