Individual
MIRANDA JEAN HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2985 TRIVERTON PIKE DR, MADISON, WI 53711
(262) 373-9840
(888) 251-2784
Mailing address
2985 TRIVERTON PIKE DR, MADISON, WI 53711
(262) 373-9840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11225-123
WI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/04/2019
Last updated
06/27/2025
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