Individual
KATHARINE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
7300 CALHOUN PL STE 600, ROCKVILLE, MD 20855-3701
(202) 913-4036
Mailing address
7300 CALHOUN PL STE 600, ROCKVILLE, MD 20855-3701
(301) 466-4732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23825
MD
Other
Enumeration date
12/18/2019
Last updated
06/24/2021
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