Individual
OLIVIA EMERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
735 W JUNIOR TER APT 204, CHICAGO, IL 60613-1568
(937) 609-3616
Mailing address
735 W JUNIOR TER APT 204, CHICAGO, IL 60613-1568
(937) 609-3616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.008829
IL
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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