Individual
MS. MEERA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546
(812) 996-0437
(812) 996-0439
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-8478
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150012225
IL
1041C0700X
Clinical Social Worker
Primary
34007062A
IN
Other
Enumeration date
04/21/2011
Last updated
07/25/2018
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