Virginia Ellen Moon M.S.

NPI 1780919506 - Counselor - 101YM0800X

NPI Details
NPI 1780919506
Gender Female
Enumeration Date 10/13/2009
Last Updated 10/13/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
203 SOUTH 16TH COURT
WAUTOMA WI, 54982, US
Phone (920) 787-6710
Fax
Business Location
203 SOUTH 16TH COURT
WAUTOMA WI, 54982, US
Phone (920) 787-6710
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ms. Virginia Ellen Moon M.S. NPI is 1780919506, taxonomy code is 101YM0800X Virginia Ellen Moon M.S. physically located at 203 South 16th Court, Wautoma WI, 54982. NPI Number Virginia Ellen Moon M.S. has the Individual type.

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1780919506 NPI number is provided on an as is basis without warranty of any kind. 1780919506 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Ellen Moon M.S. are for informational purposes only.