Individual
EMILY LAUREN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BRENTWOOD PT, BRENTWOOD, TN 37027-7911
(615) 310-2074
Mailing address
632 BRENTWOOD PT, BRENTWOOD, TN 37027-7911
(615) 310-2074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4252
TN
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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