Individual
MEGAN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 654-1004
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5108-125
WI
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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