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NPI Code Detail

MEDICARE: MEGAN A COLLINS LISW

MEDICARE: MEGAN A COLLINS LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI7153OH

General Provider Information

NPI Number : 1639342934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN A COLLINS LISW
Provider Business Mailing Address
First Line : 1051 ARROWHEAD DR
Second Line :
City : VERMILION
State : OH
Zip : 44089-3327
Country : US
Telephone Number : 440-396-8363
Fax Number :
Provider Business Practice Location Address
First Line : 3593 MEDINA RD # 181
Second Line :
City : MEDINA
State : OH
Zip : 44256-8182
Country : US
Telephone Number : 330-536-3746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 08/21/2024

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Directions to “ MEGAN A COLLINS LISW” Practice Location

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