Individual
JESSICA P EMRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Mailing address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701037
OH
390200000X
Student in an Organized Health Care Education/Training Program
S1610041-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
09/30/2016
Last updated
12/19/2019
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