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Individual

EMILY GRACE ROUSE I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 S PAINT ST, CHILLICOTHE, OH 45601-3202
(740) 771-9051
Mailing address
18 S PAINT ST, CHILLICOTHE, OH 45601-3202
(740) 771-9051

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
180299
OH
171M00000X
Case Manager/Care Coordinator
OH

Other

Enumeration date
04/07/2022
Last updated
12/27/2023
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