Individual
MRS. LAYLA MICHELLE WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2979 N 74TH ST, MILWAUKEE, WI 53210-1013
(508) 873-8421
Mailing address
2979 N 74TH ST, MILWAUKEE, WI 53210-1013
(508) 873-8421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11591-123
WI
1041C0700X
Clinical Social Worker
Primary
11800-123
WI
Other
Enumeration date
06/17/2024
Last updated
06/25/2024
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