Individual
MEGAN KENNEDY- KOTALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
509 N WINNETKA AVE, DALLAS, TX 75208-5141
(972) 755-9120
Mailing address
816 EDGEFIELD DR, RICHARDSON, TX 75080-4032
(214) 729-9194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60759
TX
Other
Enumeration date
01/07/2015
Last updated
02/26/2019
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