Individual
MS. ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4201 CONNECTICUT AVE. NW, SUITE 300, WASHINGTON, DC 20008
(202) 624-0100
Mailing address
1674 BEEKMAN PL NW APT D, WASHINGTON, DC 20009-6543
(703) 582-2611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080490
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC50080490
DC BOARD OF SOCIAL WORK
DC
Enumeration date
02/20/2014
Last updated
08/11/2015
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