Individual
EMILY E JAIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
702 N BLACKHAWK AVE, SUITE 200, MADISON, WI 53705-3357
(608) 233-3037
Mailing address
702 N BLACKHAWK AVE, SUITE 200, MADISON, WI 53705-3357
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
52063
CA
106H00000X
Marriage & Family Therapist
Primary
926-124
WI
Other
Enumeration date
07/20/2009
Last updated
11/11/2014
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