Individual
PHILIP A WUERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8600 UNIVERSITY BLVD, RM HP0091, EVANSVILLE, IN 47712-3534
(812) 465-1250
(812) 465-7170
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 146-5125
(812) 465-7170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34002562A
IN
1041C0700X
Clinical Social Worker
34002562A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000220593
—
IN
Enumeration date
12/04/2006
Last updated
01/09/2013
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