Individual
ELISA EMILY NEBOLSINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
380 MAPLE AVE W, SUITE 303, VIENNA, VA 22180-5620
(703) 938-5234
Mailing address
6 W HOWELL AVE, ALEXANDRIA, VA 22301-1506
(202) 361-8674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004713
VA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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