Individual
EMMA BLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 S 108TH ST STE 100, HALES CORNERS, WI 53130-1321
(414) 296-1730
(414) 209-4621
Mailing address
5250 S 108TH ST STE 100, HALES CORNERS, WI 53130-1321
(414) 296-1730
(414) 209-4621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11689-125
WI
101Y00000X
Counselor
90759
TX
Other
Enumeration date
01/19/2023
Last updated
04/02/2026
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