MEDICARE: MRS. EMILY JIN UNRUE MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	LG200002587	DC

General Provider Information

NPI Number	:	1013694256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY JIN UNRUE MSW

Provider Business Mailing Address
First Line	:	851 N GLEBE RD APT 1619
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-4160
Country	:	US
Telephone Number	:	817-296-2310
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 N GLEBE RD APT 1619
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-4160
Country	:	US
Telephone Number	:	817-296-2310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	06/29/2023

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