Individual
AMBER MICHELE WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20700 WATERTOWN RD STE 102, WAUKESHA, WI 53186-1800
(262) 782-1474
Mailing address
20700 WATERTOWN RD STE 102, WAUKESHA, WI 53186-1800
(262) 782-1474
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
787-228
WI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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