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Organization
MEGHAN SOUTHWELL LLC
Active
Organization
MEGHAN SOUTHWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
1703 S DESPELDER ST, GRAND HAVEN, MI 49417-2649
(616) 402-3433
Mailing address
14758 TIMBER LAKE CT, SPRING LAKE, MI 49456-9081
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
02/09/2022
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