Moses, Kathleen M
Moses, Kathleen M is an individual health care provider with primary practice located at 808 Main St E , Menomonie WI 54751-2735. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moses, Kathleen M can be contacted via phone (715) 232-1116.Contact Information
Primary practice address
808 Main St E
Menomonie WI 54751-2735
Phone: (715) 232-1116
Fax: (715) 232-5987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1343-123 | Wisconsin |
Profile Details
| NPI number | 1811918253 |
|---|---|
| LBN Legal business name | Moses, Kathleen M |
| Credentials | MS MFT LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811918253 | NPPES |
| Wisconsin | MEDICAID | 39539900 | |
| Wisconsin | Other | 19677 |
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