Individual
KAYLA MOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
1714 EASTMAN AVE, MIDLAND, MI 48640-4216
(989) 631-5390
Mailing address
5396 W SCHOOL RD, SHEPHERD, MI 48883-9626
(989) 763-7206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022500
MI
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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