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Individual

MRS. MEGHANN JEFFRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
4001 JOHN ST, EVANSVILLE, IN 47714-0216
(812) 473-3144
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
34006952
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000867553
ANTHEM
IN
01
12681369
CAQH
01
839090007
MEDICARE
IN
Enumeration date
04/13/2007
Last updated
04/01/2016
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