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Individual

EMILY MIERENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
150 N SUNNY SLOPE RD STE 100, BROOKFIELD, WI 53005-4806
(262) 432-5660
Mailing address
6225 SMITH AVE STE 1001A, BALTIMORE, MD 21209-3626

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8270-125
WI

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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