NPI | 1700612934 |
---|---|
Doing Business As | EMERGE SURF AND SOMATIC THERAPY |
Entity Type | Organization |
Authorized Contact | KRISTIN MARIE MATHES Owner 920-286-2316 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2024-09-12 |
Last Update Date | 2024-09-12 |