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Individual

EMILY TEGENKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
6667 WESBURY PARK AVE UNIT 301, COLUMBUS, OH 43235-3969
(419) 302-5304
Mailing address
6667 WESBURY PARK AVE UNIT 301, COLUMBUS, OH 43235-3969
(419) 302-5304

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.016545
IL
1041C0700X
Clinical Social Worker
Primary
I.2405540
OH

Other

Enumeration date
08/06/2013
Last updated
09/24/2024
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