Individual
MEREDITH MCCOOK PROSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
202 W FAIRVIEW AVE, JOHNSON CITY, TN 37604-5611
(423) 439-7371
(423) 232-0420
Mailing address
202 W FAIRVIEW AVE, JOHNSON CITY, TN 37604-5611
(423) 439-7371
(423) 232-0420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7798
TN
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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