Individual
NICOLE MOSCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6117 MONONA DR STE 1B, MONONA, WI 53716
(608) 999-1444
Mailing address
6117 MONONA DR STE 1B, MONONA, WI 53716-4303
(608) 999-1444
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225452733
—
WI
Enumeration date
02/05/2014
Last updated
06/24/2019
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