Individual
MRS. KELLY STANGL MEDDAUGH
Active
Individual
MRS. KELLY STANGL MEDDAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013798
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2321511000
PERSONAL CHOICE
—
01
—
344582000
MAGELLAN
PA
01
—
7798213
AETNA
PA
Enumeration date
02/09/2007
Last updated
05/13/2016
Update your record
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