Most Relevant Information
Provider Data
| NPI Number: | 1003326992 |
| Provider Name: | MEGHAN MCGOVERN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2017 |
| Last Updated: | 10/04/2017 |
Provider Practice Location
53869 CONNOR DR
CHESTERFIELD
MI
480513930
Practice Location Phone/Fax
| Phone: | 7732414009 |
| Fax: |
Provider Mailing Location
53869 CONNOR DR
CHESTERFIELD
MI
480513930
Provider Mailing Phone/Fax
| Phone: | 7732414009 |
| Fax: |