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Organization

HARRIGAN DEVELOPMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW JOHN HARRIGAN (PRESIDENT)
(262) 853-5569
Entity
Organization

Contact information

Practice address
1001 WEST GLEN OAKS LANE, SUITE 245, MEQUON, WI 53092-9999
(262) 347-3711
(262) 364-2527
Mailing address
1001 W GLEN OAKS LN, SUITE 245, MEQUON, WI 53092-3365
(262) 347-3711
(262) 364-2527

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9999999999
CURRENTLY APPLYING FOR MEDICAID
WI
Enumeration date
11/01/2013
Last updated
11/01/2013
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