Individual
ELLERY ALLEN OWENS
Active
Individual
ELLERY ALLEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C MARYLAND
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10318
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75853902
BCBS
MD
01
—
77260026
BCBS
DC
Enumeration date
12/05/2006
Last updated
07/08/2007
Update your record
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