Individual
ELLEN JULIET SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
604 SOLAREX CT, SUITE 201, FREDERICK, MD 21703-7005
(301) 663-8263
(301) 682-5326
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-5131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07939
MD
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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