Individual
EMILY WORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 HIAWATHA DR, BEAVER DAM, WI 53916-1042
(920) 210-9290
Mailing address
1426 HIAWATHA DR, BEAVER DAM, WI 53916-1042
(920) 210-9290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2508-125
WI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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