Individual
EMILY LIEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 W LOOMIS RD STE 400, FRANKLIN, WI 53132-9083
(833) 646-3222
(833) 646-3222
Mailing address
142 E 16TH ST APT 12E, NEW YORK, NY 10003-3507
(262) 893-2864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069942
—
WI
Enumeration date
05/21/2020
Last updated
05/21/2020
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