Individual
MS. MARY BETH LAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4402 SOUTH 68TH STREET, SUITE 104, GREENFIELD, WI 53220-3479
(262) 506-4050
Mailing address
4402 SOUTH 68TH STREET, SUITE 104, GREENFIELD, WI 53220-3479
(262) 506-4050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2417
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295856219
—
WI
Enumeration date
04/03/2007
Last updated
10/11/2016
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