Individual
MS. ELANA PATRICE BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5570 STERRETT PL STE 205, COLUMBIA, MD 21044-2649
(443) 744-2078
Mailing address
7609 RESERVE CIR APT 201, WINDSOR MILL, MD 21244-1644
(443) 744-2078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19009
MD
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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