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NPI Code Detail

MEDICARE: MEAGHAN GRUNWALD LMSW

MEDICARE: MEAGHAN GRUNWALD LMSW
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
11041S0200XSchool Social Worker278016LA

General Provider Information

NPI Number : 1780466581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGHAN GRUNWALD LMSW
Provider Business Mailing Address
First Line : 10755 CLETUS DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-1508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10755 CLETUS DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-1508
Country : US
Telephone Number : 225-272-2036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 10/17/2023

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Directions to “ MEAGHAN GRUNWALD LMSW” Practice Location

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