Individual
MEGAN E DITTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1245 CHEYENNE AVE, GRAFTON, WI 53024-9323
(203) 331-2297
Mailing address
176 W TRIPOLI AVE, MILWAUKEE, WI 53207-3847
(203) 331-2297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12765-123
WI
1041C0700X
Clinical Social Worker
Primary
135098-121
WI
Other
Enumeration date
01/13/2025
Last updated
01/23/2026
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