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Individual

ELLEN KOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2603 NINE MILE RD, STE 220, RICHMOND, VA 23223
(804) 266-2222
(804) 281-8535
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008708
VA

Other

Enumeration date
08/14/2018
Last updated
06/20/2024
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