Individual
CHENELLE ELLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
24548 BUDDS CREEK RD, CLEMENTS, MD 20624-2323
(240) 297-7849
Mailing address
23077 THREE NOTCH RD STE 302, CALIFORNIA, MD 20619-2453
(240) 297-7849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19969
MD
Other
Enumeration date
08/21/2014
Last updated
03/18/2021
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