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Individual

MEGAN MICHELLE BOHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0359
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0359

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
33008512A
IN
1041C0700X
Clinical Social Worker
Primary
34009121A
IN

Other

Enumeration date
07/24/2019
Last updated
01/21/2021
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