Individual
MEGAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 290-9040
Mailing address
7 GULL WAY, KEYPORT, NJ 07735-1364
(732) 492-3748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06348800
NJ
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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