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Individual
MR. JEFFREY WILLIAM EMRICK
Active
Individual
MR. JEFFREY WILLIAM EMRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-R-05
OR
1041C0700X
Clinical Social Worker
Primary
L3798
OR
Other
Enumeration date
07/24/2007
Last updated
04/09/2012
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