Individual
LISA MARTY WORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 N 8TH ST, MOUNT HOREB, WI 53572-1870
(608) 437-3064
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8995
WI
Other
Enumeration date
01/26/2016
Last updated
05/09/2023
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