Individual
ELIZABETH ANN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Mailing address
PO BOX 125, BUCHANAN, VA 24066-0125
(908) 892-2974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011450
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437137734
—
VA
Enumeration date
01/29/2020
Last updated
01/29/2020
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