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Individual
MS. MEGAN GIACOLETTO
Active
Individual
MS. MEGAN GIACOLETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-04326
MI
104100000X
Social Worker
6801100240
MI
1041C0700X
Clinical Social Worker
Primary
6801109333
MI
Other
Enumeration date
10/06/2017
Last updated
04/12/2021
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