Individual
EMMA LOUISE EXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT, CSW
Contact information
Practice address
223 WISCONSIN AVE, WAUKESHA, WI 53186-4968
(715) 741-7202
Mailing address
N115W16225 SAXONY SQ UNIT 1100, GERMANTOWN, WI 53022-5678
(715) 741-7202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19205
WI
104100000X
Social Worker
13196
WI
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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