Individual
EMERALD JO KISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAE EDS
Contact information
Practice address
310 RAILROAD ST, RIDGEWAY, IA 52165-9798
(563) 379-5181
Mailing address
310 RAILROAD ST, RIDGEWAY, IA 52165-9798
(563) 379-5181
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1015919
IA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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