Individual
EMILY ELISA HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
119947
MA
1041C0700X
Clinical Social Worker
Primary
0904007468
VA
Other
Enumeration date
11/10/2010
Last updated
11/29/2022
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