Most Relevant Information
Provider Data
| NPI Number: | 1003408618 |
| Provider Name: | MEGAN RACHELLE WADSACK LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6403 |
Most Important Dates
| Enumeration Date: | 02/04/2021 |
| Last Updated: | 02/04/2021 |
Provider Practice Location
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY
OK
731076437
Practice Location Phone/Fax
| Phone: | 4058582700 |
| Fax: |
Provider Mailing Location
PO BOX 12978
OKLAHOMA CITY
OK
731572978
Provider Mailing Phone/Fax
| Phone: | 4058582700 |
| Fax: |