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Contact Information

LASHONDA R EAGELS
3235 UNION AVE
SAN JOSE, CA95124-2009
 Phone: 408-371-0960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LASHONDA R EAGELS · (Female)

NPI Number 1003350042
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2016
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 97406
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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