| Moran Professional Services | |
|
1009 36th St Nw Austin MN 55912-6661 | |
| (507) 438-2010 | |
| Not Available |
| Full Name | Moran Professional Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1009 36th St Nw, Austin, Minnesota |
| Authorized Official Name and Position | Todd Francis Moran (DOCTOR, THERAPIST) |
| Authorized Official Contact | 5074382010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moran Professional Services 1009 36th St Nw Austin MN 55912-6661 Ph: () - | Moran Professional Services 1009 36th St Nw Austin MN 55912-6661 Ph: (507) 438-2010 |
| NPI Number | 1407127582 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 01/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407127582 | NPI | - | NPPES |
| 452809300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15984 (Minnesota) | Primary |
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