Individual
MEGAN L DUCKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
406 N PINCKNEY ST, MADISON, WI 53703-1410
(608) 504-2197
Mailing address
406 N PINCKNEY ST, MADISON, WI 53703-1410
(608) 504-2197
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1025-124
WI
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025-124
LMFT
WI
01
—
273-228
QTT MFT
WI
Enumeration date
12/04/2012
Last updated
03/17/2018
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