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Individual

ELLEN WELTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2305 N PARHAM RD STE 3, RICHMOND, VA 23229-3156
(804) 270-1124
Mailing address
2809 CHURCH CREEK PL, HENRICO, VA 23233-6949
(804) 495-5138

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
073554-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02664359
NY
01
051104000053
FIDELIS
NY
Enumeration date
06/23/2008
Last updated
12/07/2021
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