Individual
ELLEN BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 827-1001
Mailing address
150 ROUTTEN RD, HAMPTON, VA 23664-2028
(757) 224-0549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006427
VA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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