Individual
ELLERY ALLEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C MARYLAND
Contact information
Practice address
AFFILIATED COMMUNITY COUNSELORS INC, 50 WEST MONTGOMERY AVE SUITE 110, ROCKVILLE, MD 20850-4216
(301) 251-8965
(301) 251-0136
Mailing address
50 W MONTGOMERY AVENUE, SUITE 110, ROCKVILLE, MD 20850-4216
(301) 251-8965
(301) 251-0136
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
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