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Individual

MEGHAN MCNICHOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
5000 S 5TH AVE, BLDG. 228, 4 NORTH, ROOM 4060, HINES, IL 60141-3030
(708) 202-8387
(708) 202-4954
Mailing address
5000 S 5TH AVE, BLDG. 228, 4 NORTH, ROOM 4060, HINES, IL 60141-3030
(708) 202-8387
(708) 202-4954

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150014083
IL

Other

Enumeration date
12/19/2013
Last updated
12/19/2013
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