Individual
KEVIN JOHN MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
888 VANDALIA RD, MORGANTOWN, WV 26501-6248
(304) 281-6942
Mailing address
PO BOX 1330, MORGANTOWN, WV 26507-1330
(304) 281-6942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00454455
WV
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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