Individual
EMMA YACKSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
1004 W 47TH ST, RICHMOND, VA 23225-4649
(434) 996-8166
Mailing address
1004 W 47TH ST, RICHMOND, VA 23225-4649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012642
VA
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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