Provider Demographics
NPI:1386164358
Name:WEEK, MEGAN ANN
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANN
Last Name:WEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 40TH AVE S STE 115
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-4592
Mailing Address - Country:US
Mailing Address - Phone:701-478-0906
Mailing Address - Fax:701-478-0909
Practice Address - Street 1:4675 40TH AVE S STE 115
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4592
Practice Address - Country:US
Practice Address - Phone:701-478-0906
Practice Address - Fax:701-478-0909
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical