NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902554975 |   |   |   | TIMOTHY EGAN LMSW, LLC | 26098 E HURON RIVER DR | FLAT ROCK | MI | 481341256 |
1356811129 | EGAN | TIMOTHY | PATRICK |   | 26098 E HURON RIVER DR | FLAT ROCK | MI | 481341256 |