Most Relevant Information
Provider Data
| NPI Number: | 1003326547 |
| Provider Name: | EMILY RENAE LY LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/11/2017 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
3333 BURNET AVE
CINCINNATI
OH
452293026
Practice Location Phone/Fax
| Phone: | 5138036316 |
| Fax: |
Provider Mailing Location
3333 BURNET AVE
CINCINNATI
OH
452293026
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |