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Organization
MORAN PROFESSIONAL SERVICES
Active
Organization
MORAN PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD FRANCIS MORAN PHD, LICSW (DOCTOR, THERAPIST)
(507) 438-2010
Entity
Organization
Contact information
Practice address
1009 36TH ST NW, AUSTIN, MN 55912-6661
(507) 438-2010
Mailing address
1009 36TH ST NW, AUSTIN, MN 55912-6661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15984
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452809300
—
MN
Enumeration date
01/20/2012
Last updated
01/20/2012
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