Individual
MEAGHAN D CICAIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
3360 N HIGHWAY 59 STE K, MERCED, CA 95348-9405
(209) 725-2125
Mailing address
726 CABERNET ST, LOS BANOS, CA 93635
(505) 554-4082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CA
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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