Individual
JACQUELYN KISER ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5058 DORSEY HALL DR STE 103, ELLICOTT CITY, MD 21042-7850
(410) 884-9200
Mailing address
6524 MACBETH WAY, SYKESVILLE, MD 21784-6241
(410) 294-5334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17067
MD
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
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