Individual
MEGAN FORRESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
N5509 GRAY HORSE RD, WEST SALEM, WI 54669-9374
(608) 386-9713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8464-120
WI
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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