Individual
ELISE KASSIE COLLINGRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 WASHINGTON BLVD, ARLINGTON, VA 22204-5718
(703) 228-5150
(703) 228-5222
Mailing address
2120 WASHINGTON BLVD, ARLINGTON, VA 22204-5718
(703) 228-5150
(703) 228-5222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010781
VA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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