Individual
MORGAN M. DEPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GC
Contact information
Practice address
9200 W WISCONSIN AVE, GENETIC COUNSELING OFFICE, MILWAUKEE, WI 53226-3522
(414) 955-5899
(414) 955-6516
Mailing address
9200 W WISCONSIN AVE, GENETIC COUNSELING OFFICE, MILWAUKEE, WI 53226-3522
(414) 955-5899
(414) 955-6516
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
0000000030
TN
170300000X
Genetic Counselor (M.S.)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15444
ABGC - AMERICAN BOARD OF GENETIC COUNSELING
—
01
—
GC0000000030
TN STATE LICENSE
TN
Enumeration date
07/24/2012
Last updated
08/28/2013
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