Individual
EMMA SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 492-6970
Mailing address
530 SOUTH MAIN STREET, LIMA, OH 45804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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