Individual
MEGAN TIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
1234 PORLIER ST, GREEN BAY, WI 54301-3432
(715) 304-7033
Mailing address
1234 PORLIER ST, GREEN BAY, WI 54301-3432
(715) 304-7033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10158
WI
1041C0700X
Clinical Social Worker
13309
LA
1041C0700X
Clinical Social Worker
31129
MN
Other
Enumeration date
01/18/2023
Last updated
03/12/2025
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