Individual
EMILY SOUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 PINE DR, EVANS, WV 25241-8112
(304) 532-3614
Mailing address
410 PINE DR, EVANS, WV 25241-8112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P/SLP-0616
WV
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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