Individual
CONSTANCE L MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1400 E MADISON AVE, MANKATO, MN 56001-5473
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01369
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129116
UCARE
—
05
—
201950700
—
MN
01
—
6230992
MEDICA
—
01
—
62554ME
BCBS
—
01
—
943071034376
PREFERRED ONE
—
Enumeration date
09/06/2006
Last updated
09/21/2011
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