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Individual
LISA R EMERY
Active
Individual
LISA R EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21707
MD
101YM0800X
Mental Health Counselor
LC302376
DC
1041C0700X
Clinical Social Worker
Primary
21707
MD
1041C0700X
Clinical Social Worker
LC302376
DC
Other
Enumeration date
03/08/2016
Last updated
08/24/2016
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