Individual
ANTHONY EDWARD EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3025 PETERS CREEK RD NW, SUITE A, ROANOKE, VA 24019-2759
(540) 352-7611
(540) 362-0973
Mailing address
4625 OAKLAND BLVD, ROANOKE, VA 24012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008194
VA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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