Most Relevant Information
Provider Data
| NPI Number: | 1003536780 |
| Provider Name: | KAYLA MOGG LLC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6451022500 |
Most Important Dates
| Enumeration Date: | 09/01/2022 |
| Last Updated: | 09/01/2022 |
Provider Practice Location
1714 EASTMAN AVE
MIDLAND
MI
486404216
Practice Location Phone/Fax
| Phone: | 9896315390 |
| Fax: |
Provider Mailing Location
5396 W SCHOOL RD
SHEPHERD
MI
488839626
Provider Mailing Phone/Fax
| Phone: | 9897637206 |
| Fax: |