Individual
MEGHAN CLARK CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
2217 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 671-6700
Mailing address
2217 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 671-6700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW005011
GA
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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