Individual
MEGEN LUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 11TH AVE S, FARGO, ND 58103-3016
(701) 580-1771
Mailing address
1434 11TH AVE S, FARGO, ND 58103-3016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9781
ID
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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