Individual
MEGAN RUVOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
3875 E 550 S, LEBANON, IN 46052-8136
(740) 221-2042
Mailing address
3875 E 550 S, LEBANON, IN 46052-8136
(740) 221-2042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009126A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34009126A
LCSW
IN
Enumeration date
02/01/2021
Last updated
02/01/2021
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