Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | 9546 | LA |
Y | 1041C0700X | Clinical Social Worker | C8752 | MS |
NPI | 1003174780 |
---|---|
Provider Name | Mrs. Emily B. Lehigh |
First Address | Ridgeland, MS 39157-8803 |
Second Address | Ridgeland, MS 39157-8803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2012 |
Last Update Date | 28/03/2021 |