Individual
MISS MEREDITH KATHLEEN GAGICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1630 HUMBOLDT ST, APARTMENT D, MANHATTAN, KS 66502-4166
(724) 747-3807
Mailing address
1630 HUMBOLDT ST, APARTMENT D, MANHATTAN, KS 66502-4166
(724) 747-3806
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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