Individual
MS. MEGAN M TATAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSW
Contact information
Practice address
411 DR MARTIN LUTHER KING DR, PEORIA, IL 61605-2400
(309) 497-0790
(309) 497-3564
Mailing address
411 DR MARTIN LUTHER KING DR, PEORIA, IL 61605-2400
(309) 497-0790
(309) 497-3564
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150011434
IL
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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