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Emily J Fumarola, LISW

Social Worker, Clinical in Blue Ash, OH. Individual provider (NPI-1).

NPI number1407300916
StatusActive
Last updated in NPPESNov 17, 2022

Details

NPI
1407300916
Entity type
Individual (NPI-1)
Name
Emily J Fumarola
Credential
LISW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2016
Certification date
Nov 17, 2022
Last updated
Nov 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI.2002203OHYes
104100000X Social WorkerS.1600556OH

Practice location

10921 Reed Hartman Hwy Ste 133
Blue Ash, OH 45242-2851

Phone 513-984-9838

Mailing address

1520 S State Route 133
Blanchester, OH 45107-8483

Phone 937-728-7707

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