Individual
ELLEN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
10905 FORT WASHINGTON RD, SUITE 202, FORT WASHINGTON, MD 20744-5843
(301) 292-3994
Mailing address
2512 SHORT PUTT CT, CROFTON, MD 21114-3209
(301) 858-9550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09366
MD
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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