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Individual

ELISE NORDSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LGSW

Contact information

Practice address
7027 ONYX CT, CAPITOL HEIGHTS, MD 20743-1882
(202) 374-8188
(801) 421-9115
Mailing address
7027 ONYX CT, CAPITOL HEIGHTS, MD 20743-1882
(202) 374-8188
(801) 421-9115

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30302
MD
1041C0700X
Clinical Social Worker
LG200002653
DC

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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