Individual
MS. LISA B WERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
164 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 427-5758
(866) 871-7013
Mailing address
125 DURKEES RUN DR, LAFAYETTE, IN 47905-5561
(765) 427-5758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004717A
IN
Other
Enumeration date
02/23/2007
Last updated
10/17/2012
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