Organization
ELV SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA COLE (SOCIAL WORKER)
(240) 815-2747
Entity
Organization
Contact information
Practice address
9470 ANNAPOLIS RD, SUITE #117, LANHAM, MD 20706-3025
(240) 815-2747
Mailing address
9470 ANNAPOLIS RD, SUITE #117, LANHAM, MD 20706-3025
(240) 815-2747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20374
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103322100
—
MD
Enumeration date
04/19/2017
Last updated
04/19/2017
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