Individual
BETH WORTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
406 N PINCKNEY ST, MADISON, WI 53703-1410
(608) 255-8838
Mailing address
406 N PINCKNEY ST, MADISON, WI 53703-1410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3218-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39787000
—
WI
Enumeration date
12/06/2006
Last updated
07/08/2007
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