Individual
EMILY ELIZABETH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 N COURTHOUSE RD, PROVIDENCE FORGE, VA 23140-3408
(804) 409-7525
(804) 315-9380
Mailing address
3530 N COURTHOUSE RD, PROVIDENCE FORGE, VA 23140-3408
(804) 409-7525
(804) 315-9380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903003675
VA
1041C0700X
Clinical Social Worker
Primary
0904017838
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/26/2021
Last updated
03/21/2025
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