Individual
MRS. ELIZABETH JEAN PETROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5229 NEW DESIGN RD, FREDERICK, MD 21703-7103
(301) 668-1320
(301) 696-1390
Mailing address
5229 NEW DESIGN RD, FREDERICK, MD 21703-7103
(301) 668-1320
(301) 696-1390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12714
MD
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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