Individual
MEGAN KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009247A
IN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/01/2021
Last updated
11/21/2022
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