Individual
MEAGAN T CLAUSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8965 CROSSWIND CIR APT 104, MONTGOMERY, AL 36117-8084
(251) 362-1438
Mailing address
8965 CROSSWIND CIR APT 104, MONTGOMERY, AL 36117-8084
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12673
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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