Individual
MS. ELIZABETH C CHAMPNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
725 ST JOHNS ROAD, BALTIMORE, MD 21210
(410) 323-1228
Mailing address
725 ST JOHNS ROAD, BALTIMORE, MD 21210
(410) 323-7313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04885
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q156EC
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/29/2006
Last updated
07/08/2007
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