Individual
ELISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
246 DILL AVE, FREDERICK, MD 21701-4906
(703) 200-3647
Mailing address
246 DILL AVE, FREDERICK, MD 21701-4906
(703) 200-3647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20134
MD
1041C0700X
Clinical Social Worker
LC50079402
DC
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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