Individual
ELAINE KOUROUPAS MAZANEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2000 P ST NW STE 412, WASHINGTON, DC 20036-6922
(301) 922-0741
Mailing address
4655 MASSACHUSETTS AVE NW, WASHINGTON, DC 20016-2361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200003369
DC
Other
Enumeration date
06/09/2022
Last updated
08/15/2024
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