Individual
EMILY LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S BLOUNT ST STE 103, MADISON, WI 53703-4664
(608) 405-5111
Mailing address
301 S BLOUNT ST STE 103, MADISON, WI 53703-4664
(608) 405-5111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7500-226
WI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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