Individual
CAROL R MORACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,CADC-D,RES
Contact information
Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4600
(920) 303-4792
Mailing address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4600
(920) 303-4792
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12849-131
WI
104100000X
Social Worker
7382-120
WI
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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