Individual
ELLEN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22655 WASHINGTON ST, LEONARDTOWN, MD 20650-3848
(301) 690-8063
Mailing address
22655 WASHINGTON ST STE 5, LEONARDTOWN, MD 20650-3848
(301) 690-8063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26157
MD
Other
Enumeration date
10/07/2020
Last updated
01/05/2021
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