Individual
MRS. CAROLE BERRY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
7634 MOUNTAIN LAUREL RD, BOONSBORO, MD 21713-2138
(301) 693-0360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09316
MD
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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