LISA MARIE MOON

MADISON, WI
NPI1699340075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  19349-130)
Enumeration Date2021-05-26
Last Update Date2021-05-26
Business Address
LISA MARIE MOON
5005 UNIVERSITY AVE
MADISON, WI 53705-5439
Phone number: 608-233-2100
Mailing Address
LISA MARIE MOON
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number:
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