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General NPI Number Information
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NPI Number | 1588029136
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Entity Type | Individual
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Provider Name | MEGAN RAE GARZA LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 710 LANE 39
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City | BURLINGTON
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State | WY
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Zip | 82411-9739
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Country | US
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Telephone | 623-688-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | BURLINGTON
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State | WY
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Zip | 82411-0152
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Country | US
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Telephone | 623-688-7900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 20673
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 113936
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801118849
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1334
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License Number State | WY
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