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Individual

EMILY JEAN WENGERTSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
17 ELIZABETH ST, DERBY, CT 06418-1840
(203) 962-6589
(475) 777-5909
Mailing address
35 HERSCHEL AVE, WATERBURY, CT 06708-1717
(203) 518-0502

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CT

Other

Enumeration date
10/23/2019
Last updated
10/23/2019
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