Individual
MICHELLE RENEA MOGENROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 BALL ST, LAFAYETTE, IN 47904-1344
(465) 476-2900
Mailing address
8294 N CARDINAL LN, ALTAMONT, IL 62411-3545
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10327814
IN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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