Individual
EMMA WORTHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2495 MAPLEWOOD DR STE 312, MAPLEWOOD, MN 55109-1985
(651) 760-3109
Mailing address
2495 MAPLEWOOD DR STE 312, MAPLEWOOD, MN 55109-1985
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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