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NPI Code Detail

MEDICARE: MRS. MEGAN EDWARDS LSW

MEDICARE: MRS. MEGAN EDWARDS LSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1972250223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN EDWARDS LSW
Provider Business Mailing Address
First Line : 50 W MAIN ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-3103
Country : US
Telephone Number : 740-773-3272
Fax Number :
Provider Business Practice Location Address
First Line : 50 W MAIN ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-3103
Country : US
Telephone Number : 740-773-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2022
Last Update Date : 03/07/2022

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