Meridian Health Group LLC

NPI #1568180339 in Sheridan, Wyoming

Provider Information

NPI Number: 1568180339
Entity Type: Organization
Organization Name: Meridian Health Group LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 18, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 30 N GOULD ST STE N
City: Sheridan
State: Wyoming
ZIP Code: 82801-6317
Phone: (617) 872-3612

Authorized Official

Name: THOMAS TAVAR
Title: MANAGING DIRECTOR
Phone: (203) 988-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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