Individual
CHIQUITA ELLERBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A
Contact information
Practice address
650 HIGHLAND AVE, WINSTON SALEM, NC 27101-4362
(336) 607-8523
Mailing address
650 HIGHLAND AVE, WINSTON SALEM, NC 27101-4362
(336) 607-8523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020576
NC
Other
Enumeration date
10/08/2024
Last updated
10/14/2024
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