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Individual
ELLEN WHITE HART
Active
Individual
ELLEN WHITE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904009242
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104858653
—
VA
Enumeration date
07/06/2016
Last updated
09/15/2021
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