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Individual

MR. PETER JOHN MEAGHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSSW

Contact information

Practice address
5301 CONEY WESTON PL, MADISON, WI 53711-1003
(608) 234-2778
Mailing address
5301 CONEY WESTON PL, MADISON, WI 53711-1003
(608) 234-2778

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6675-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39789200
WI
Enumeration date
09/14/2015
Last updated
01/24/2024
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