Gillam, Elizabeth Crawford

Gillam, Elizabeth Crawford is an individual health care provider with primary practice located at 720 N Saint Asaph St , Alexandria VA 22314-1912. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gillam, Elizabeth Crawford can be contacted via phone (703) 838-4455.

Contact Information

Primary practice address
720 N Saint Asaph St Alexandria VA 22314-1912
Phone: (703) 838-4455
Fax: (703) 838-5070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005223 Virginia

Profile Details

NPI number 1851454300
LBN Legal business name Gillam, Elizabeth Crawford
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851454300 NPPES
Virginia Other 270291 AMERIGROUP VIRGINIA INC.
Virginia Other 188796 AMERIGROUP VIRGINIA INC.

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