Individual
DANA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-IT
Contact information
Practice address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
(888) 778-6750
Mailing address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
(888) 778-6750
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1022
WI
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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