Most Relevant Information
Provider Data
| NPI Number: | 1003219478 |
| Provider Name: | EMILY PEMBROOK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2014 |
| Last Updated: | 09/30/2014 |
Provider Practice Location
2615 EDWARDS ST
ALTON
IL
620023915
Practice Location Phone/Fax
| Phone: | 6184622331 |
| Fax: | 6184622504 |
Provider Mailing Location
2615 EDWARDS ST
ALTON
IL
620023915
Provider Mailing Phone/Fax
| Phone: | 6184622331 |
| Fax: | 6184622504 |