Individual
EMIESHA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1903571
OH
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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