Individual
MARY EMSWELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KIMBALL AVE, L143, SALEM, VA 24153-6735
(910) 269-1727
Mailing address
100 KIMBALL AVE, L143, SALEM, VA 24153-6735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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