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Individual

MEGAN L ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
328 SHELBY STREET, FRANKFORT, KY 40601-2859
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256155
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15435257
CAQH
05
7100778650
KY
Enumeration date
11/05/2021
Last updated
09/03/2024
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