Organization
JILL EMMONS LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL EMMONS LCSW (CLINICAL SOCIAL WORKER)
(317) 371-3265
Entity
Organization
Contact information
Practice address
4265 E MAIN ST, AVON, IN 46123-9174
(317) 268-6555
Mailing address
4265 E MAIN ST, AVON, IN 46123-9174
(317) 268-6555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005602A
IN
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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