Individual
MEGAN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 DUPONT DR, SEYMOUR, IN 47274-1723
(812) 523-0386
Mailing address
728 S STATE ST, NORTH VERNON, IN 47265-2129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003071A
IN
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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