| Meridian Health Group Llc | |
|
30 N Gould St Ste N Sheridan WY 82801-6317 | |
| (617) 872-3612 | |
| (203) 538-3478 |
| Full Name | Meridian Health Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 N Gould St Ste N, Sheridan, Wyoming |
| Authorized Official Name and Position | Thomas Tavar (MANAGING DIRECTOR) |
| Authorized Official Contact | 2039886900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Health Group Llc Po Box 990001 Boston MA 02199-0001 Ph: (617) 872-3612 | Meridian Health Group Llc 30 N Gould St Ste N Sheridan WY 82801-6317 Ph: (617) 872-3612 |
| NPI Number | 1568180339 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568180339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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