Individual
MEGAN EMILY BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
6425 EAGLE XING, OSAGE BEACH, MO 65065-9812
(502) 645-9673
Mailing address
6425 EAGLE XING, OSAGE BEACH, MO 65065-9812
(502) 645-9673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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