Individual
ANDREA ELLIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 W 7TH ST, 500, FREDERICK, MD 21701-4106
(301) 682-2472
Mailing address
7474 GREENWAY CENTER DR, 730, GREENBELT, MD 20770-3504
(301) 345-1022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22164
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
MD
Enumeration date
05/11/2017
Last updated
05/11/2017
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