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NPI Code Detail

MEDICARE: MORGAN MAE OWENS

MEDICARE: MORGAN MAE OWENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1124976733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN MAE OWENS
Provider Business Mailing Address
First Line : 1075 WOODWARD AVE LOWR LEVEL
Second Line :
City : KINGSFORD
State : MI
Zip : 49802-4434
Country : US
Telephone Number : 906-828-2088
Fax Number : 906-771-8080
Provider Business Practice Location Address
First Line : 1075 WOODWARD AVE LOWR LEVEL
Second Line :
City : KINGSFORD
State : MI
Zip : 49802-4434
Country : US
Telephone Number : 906-828-2088
Fax Number : 906-771-8080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ MORGAN MAE OWENS ” Practice Location

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