Provider Demographics
NPI:1437441284
Name:MCBRIDE-GARWOOD, MEGGAN M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MEGGAN
Middle Name:M
Last Name:MCBRIDE-GARWOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5617
Mailing Address - Country:US
Mailing Address - Phone:307-752-7835
Mailing Address - Fax:
Practice Address - Street 1:1155 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5617
Practice Address - Country:US
Practice Address - Phone:307-752-7835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW-7361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical