Individual
MEGAN BANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3805 CHESHIRE CT, COLUMBIA, MO 65203-5848
(660) 591-5782
Mailing address
3805 CHESHIRE CT, COLUMBIA, MO 65203-5848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021033864
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021033864
LICENSE NUMBER
MO
Enumeration date
08/27/2021
Last updated
08/27/2021
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