Individual
MS. KATHRYN OLIVIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 PARAGON PL STE 237, RICHMOND, VA 23230-1651
(804) 562-9997
Mailing address
1309 GARBER ST, RICHMOND, VA 23231-3615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904019532
VA
Other
Enumeration date
10/23/2025
Last updated
12/10/2025
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