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Provider Information for 1760547012


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Ms. CHRISTINE ELLIOTT WHEELER LICSW


Sex: Female

NPI: 1760547012
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1760547012
Enumeration Date2006-12-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1366 SOMERSET PL NW
WASHINGTON, DC 20011-1135
United States

Phone: 202-723-1922 | Fax:202-737-3557
 
Primary Practice Address 1012 14TH ST NW
14TH FLOOR
WASHINGTON, DC 20005-3403
United States

Phone: 202-654-5159 | Fax:202-737-3557
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalDCLC301465