Individual
ELIZABETH JOHNSTON ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
19254 ROGERS CLARK BLVD, RUTHER GLEN, VA 22546-4010
(804) 633-9997
(540) 371-3753
Mailing address
19254 ROGERS CLARK BLVD, RUTHER GLEN, VA 22546-4010
(804) 633-9997
(540) 371-3753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009041
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945182
—
VA
Enumeration date
05/18/2011
Last updated
08/10/2016
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