MRS. Stacey E Meath, LICSW

NPI #1649552415 in Andover, Minnesota

Provider Information

NPI Number: 1649552415
Entity Type: Individual
Name: MRS. Stacey E Meath, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Sep 16, 2011
Last Updated: Feb 9, 2015

Practice Location

Address: 2705 BUNKER LAKE BLVD NW
Address 2: SUITE 100
City: Andover
State: Minnesota
ZIP Code: 55304-3784
Phone: (763) 482-9598

Specialties & Taxonomy Codes

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

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