Individual
ELLEN F GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6718 PATTERSON AVE, RICHMOND, VA 23226-3419
(804) 282-5644
(804) 673-2061
Mailing address
6718 PATTERSON AVE, RICHMOND, VA 23226-3419
(804) 282-5644
(804) 673-2061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001862
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008907196
—
VA
Enumeration date
12/04/2006
Last updated
07/20/2010
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