Organization
ELV SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA COLE (OWNER)
(703) 992-4377
Entity
Organization
Contact information
Practice address
9470 ANNAPOLIS RD STE 117, LANHAM, MD 20706-3031
(703) 992-4377
Mailing address
8561 GREENBELT RD APT 204, GREENBELT, MD 20770-2340
(703) 992-4377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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