Provider Demographics
NPI:1710517628
Name:SLAALIEN, MEGHAN (LICSW)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SLAALIEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 BROAD ST STE 1511
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3205
Mailing Address - Country:US
Mailing Address - Phone:603-577-5551
Mailing Address - Fax:603-577-5576
Practice Address - Street 1:154 BROAD ST STE 1511
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3205
Practice Address - Country:US
Practice Address - Phone:603-577-5551
Practice Address - Fax:603-577-5576
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical