Provider Demographics
NPI:1295407872
Name:ALBROW, EMMA GILLIAN
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:GILLIAN
Last Name:ALBROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 M ST SW APT 1101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3677
Mailing Address - Country:US
Mailing Address - Phone:415-640-7331
Mailing Address - Fax:
Practice Address - Street 1:8180 GREENSBORO DR STE 350
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3862
Practice Address - Country:US
Practice Address - Phone:703-829-5610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical