Individual
MR. MARK ALAN MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(847) 962-7917
(262) 299-3040
Mailing address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 244-6177
(262) 299-3040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4252123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43742200
—
WI
Enumeration date
08/08/2006
Last updated
04/23/2020
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