Provider Demographics
NPI:1992350144
Name:TAROLLI, EMILY GRACE
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:GRACE
Last Name:TAROLLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26378 RINNE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48164-9591
Mailing Address - Country:US
Mailing Address - Phone:734-778-2232
Mailing Address - Fax:
Practice Address - Street 1:1403 INKSTER RD
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-1831
Practice Address - Country:US
Practice Address - Phone:313-565-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker