Individual
JOANNA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3806
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3700
(920) 720-3806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15192
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40996300
—
WI
Enumeration date
10/28/2005
Last updated
11/03/2008
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