Individual
SUSANA EMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
882 W NIPPERSINK RD, ROUND LAKE, IL 60073-3701
(847) 270-9920
Mailing address
882 W NIPPERSINK RD, ROUND LAKE, IL 60073-3701
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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