Individual
MRS. CARA ANN SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS MFT
Contact information
Practice address
602 PLEASANT OAK DR, OREGON, WI 53575-3282
(608) 835-5050
Mailing address
602 PLEASANT OAK DR, OREGON, WI 53575-3282
(608) 835-5050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
47-228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-228
MFT TRAINING LICENSE
WI
Enumeration date
05/15/2007
Last updated
07/08/2007
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