| Meghan Southwell Llc | |
|
1703 S Despelder St Grand Haven MI 49417-2649 | |
| (616) 402-3433 | |
| Not Available |
| Full Name | Meghan Southwell Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1703 S Despelder St, Grand Haven, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meghan Southwell Llc 14758 Timber Lake Ct Spring Lake MI 49456-9081 Ph: () - | Meghan Southwell Llc 1703 S Despelder St Grand Haven MI 49417-2649 Ph: (616) 402-3433 |
| NPI Number | 1952904575 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952904575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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