Individual
ELMIRA J KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 ARBOR OAK DR STE 205A, ASHLAND, VA 23005-2261
(804) 869-2960
(804) 883-5983
Mailing address
PO BOX 366, ASHLAND, VA 23005-0366
(804) 869-2960
(804) 883-5983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190001140
MEDICARE
VA
Enumeration date
09/09/2008
Last updated
11/09/2022
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