Individual
EMILY WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7633 GANSER WAY STE 204, MADISON, WI 53719-2092
(608) 829-1800
Mailing address
7633 GANSER WAY STE 204, MADISON, WI 53719-2092
(608) 829-1800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9885-123
WI
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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