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Individual

EMMA PHILLIPS MYREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW

Contact information

Practice address
710 FREDERICK ST, SUN PRAIRIE, WI 53590-2824
(608) 389-0330
Mailing address
710 FREDERICK ST, SUN PRAIRIE, WI 53590-2824
(608) 215-6227

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149024470
IL
1041C0700X
Clinical Social Worker
Primary
9765
WI

Other

Enumeration date
01/01/2020
Last updated
02/01/2023
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