Individual
MS. ELLEN JOY LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
226 E LAFAYETTE AVE UNIT A, BALTIMORE, MD 21202-4898
(410) 929-6087
Mailing address
226 E LAFAYETTE AVE UNIT A, BALTIMORE, MD 21202-4898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23320
MD
Other
Enumeration date
05/28/2018
Last updated
09/02/2021
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