Individual
MEGAN SQUARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 TANGLEWOOD DR S, ONTARIO, OH 44906-1732
(985) 348-8158
Mailing address
1881 TANGLEWOOD DR S, ONTARIO, OH 44906-1732
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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