Individual
MRS. CONNIE MOREHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 E 4TH ST, SUPERIOR, WI 54880-3512
(715) 718-0621
Mailing address
1724 E 4TH ST, SUPERIOR, WI 54880-3512
(715) 718-0621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15760
MN
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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