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Individual

MRS. MEGAN ELIZABETH KERSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
125 DARTEZE DR, LAFAYETTE, LA 70508-8112
(757) 617-3423
Mailing address
125 DARTEZE DR, LAFAYETTE, LA 70508-8112
(757) 617-3423

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9836
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9836
LCSW PROFESSIONAL LICENSE
LA
Enumeration date
03/15/2014
Last updated
03/15/2014
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