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Individual

MEGAN MANTILLA

Active
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Individual

MEGAN MANTILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801102734
MI
1041C0700X
Clinical Social Worker
0904014947
VA
1041C0700X
Clinical Social Worker
095794
NY
1041C0700X
Clinical Social Worker
Primary
149.025209
IL
1041C0700X
Clinical Social Worker
30037
MD
1041C0700X
Clinical Social Worker
34012010A
IN
1041C0700X
Clinical Social Worker
6801108376
MI
1041C0700X
Clinical Social Worker
9644
FL
1041C0700X
Clinical Social Worker
LC200002376
DC
1041C0700X
Clinical Social Worker
TLS213CP
SC

Other

Enumeration date
06/29/2018
Last updated
04/24/2026
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