Individual
AMY C EMKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8644 SUDLEY RD STE 315, MANASSAS, VA 20110-4425
(703) 369-8055
(703) 369-8565
Mailing address
PO BOX 936952, ATLANTA, GA 31193-6952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008395
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04945247
—
VA
Enumeration date
10/30/2013
Last updated
02/10/2022
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