Individual
EMILY GAIL BEAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
N17W24222 RIVERWOOD DR STE 170, WAUKESHA, WI 53188-1134
(262) 793-0961
Mailing address
N3881 LIBERTY ST, SULLIVAN, WI 53178-9652
(920) 253-5875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12259-123
WI
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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