Individual
EMILY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 E 5TH ST, DAYTON, OH 45402-2222
(937) 542-7454
Mailing address
28 PATTERSON VILLAGE DR APT 4, DAYTON, OH 45419-4219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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