Provider Demographics
NPI:1356080204
Name:STORKSON, MORGAN M
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:M
Last Name:STORKSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:DODGEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53533-1427
Mailing Address - Country:US
Mailing Address - Phone:608-574-8834
Mailing Address - Fax:
Practice Address - Street 1:309 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:DODGEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53533-1427
Practice Address - Country:US
Practice Address - Phone:608-574-8834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker