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Individual

MS. MENG AI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
101 W KIRKWOOD AVE STE 210, BLOOMINGTON, IN 47404-6133
(812) 333-1988
(812) 822-3159
Mailing address
101 W KIRKWOOD AVE STE 210, BLOOMINGTON, IN 47404-6133
(812) 333-1988
(812) 822-3159

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004371A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000214787
ANTHEM PIN NUMBER
IN
01
291383000
MAGELLAN PIN NUMBER
IN
Enumeration date
02/27/2007
Last updated
09/09/2023
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  • EDI platform