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Individual

MISS MORGAN MERCEDES DEANNE FREI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHP, LSWM

Contact information

Practice address
4600 3RD ST, SASS SUITE, MOLINE, IL 61265-6106
(309) 779-2066
(309) 779-2917
Mailing address
4600 3RD ST, SASS SUITE, MOLINE, IL 61265-6106
(309) 779-2066
(309) 779-2917

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
077362
IA
104100000X
Social Worker
Primary
150015755
IL

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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