Individual
MEGAN STAHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
827 W 14TH CT, BLOOMINGTON, IN 47404-3347
(812) 339-3429
Mailing address
3322 S BROWNING PL, BLOOMINGTON, IN 47401-9472
(812) 679-9149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008409A
IN
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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