Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 24997 | MD |
NPI | 1003081738 |
---|---|
Provider Name | Amy E Tindell |
First Address | Rockville, MD 20850-4115 |
Second Address | Gaithersburg, MD 20877-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 18/07/2019 |