Individual
MS. ELIZABETH BLOCKER EBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3930 KNOWLES AVE, STE.301, KENSINGTON, MD 20895-2428
(301) 760-8798
(301) 312-8185
Mailing address
3930 KNOWLES AVE, STE 301, KENSINGTON, MD 20895-2428
(301) 760-8798
(301) 312-8185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04880
MD
Other
Enumeration date
02/01/2007
Last updated
08/27/2014
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