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Individual

MEGAN E HENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10765 LANTERN ROAD, SUITE 102, FISHERS, IN 46038-3597
(317) 621-4181
(317) 621-4182
Mailing address
10765 LANTERN ROAD, SUITE 102, FISHERS, IN 46038-3597
(317) 621-4181
(317) 621-4182

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006338A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000741679
ANTHEM
IN
01
496748
MANAGED HEALTH NETWORK
IN
Enumeration date
11/17/2011
Last updated
02/01/2012
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