Provider Information for 1497186159
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Mrs. MEGHAN MARIE DAVIS
Other Names:Former Name:MEGHAN MARIE ADAMO MSWSex: Female
NPI: 1497186159
Last Updated: 2023-10-25
Certification Date: 2023-10-25
Certification Date: 2023-10-25
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1497186159 | ||||||||||||
| Enumeration Date | 2013-12-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 264 CLUBHOUSE DR EAST STROUDSBURG, PA 18302-9264 United States Phone: 570-269-8305 | Fax: | ||||||||||||
| Primary Practice Address | 264 CLUBHOUSE DR EAST STROUDSBURG, PA 18302-9264 United States Phone: 570-269-8305 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 745 MAIN ST STE 204 | ||||||||||||
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