Individual
EMILY DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 563-5316
(540) 563-5316
Mailing address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 563-5316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009304
VA
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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