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Individual

EMELIA CATHERINE EMANUEL SELF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
124 PAINTED HORSE WAY, ERIE, CO 80516-2651
(314) 662-3673
Mailing address
124 PAINTED HORSE WAY, ERIE, CO 80516-2651
(314) 662-3673

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
06/20/2022
Last updated
06/20/2022
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