Individual
MEGHAN NICOLE BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 LEON SULLIVAN WAY, CHARLESTON, WV 25301-1216
(304) 419-2241
Mailing address
105 MATHEWS RD, RED HOUSE, WV 25168-7656
(304) 419-2241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00944749
WV
1041C0700X
Clinical Social Worker
I.0900103-SUPV
OH
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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