Individual
ERICA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 GOLDEN EYE CT, UPPER MARLBORO, MD 20774-7097
(202) 704-9940
Mailing address
1402 GOLDEN EYE CT, UPPER MARLBORO, MD 20774-7097
(202) 704-9940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50077901
DC
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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