Individual
ASHLEY ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14 CANDLEBERRY DR, LA PLATA, MD 20646-9701
(910) 797-0449
Mailing address
14 CANDLEBERRY DR, LA PLATA, MD 20646-9701
(910) 797-0449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
31134
MD
1041C0700X
Clinical Social Worker
Primary
31134
MD
Other
Enumeration date
07/28/2015
Last updated
08/07/2024
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