Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LC5930 | MD |
NPI | 1003433293 |
---|---|
Provider Name | Annette Marguerite Levitine-Woodside |
First Address | Bethesda, MD 20817-4556 |
Second Address | Bethesda, MD 20817-4556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2020 |
Last Update Date | 03/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
LC5930 | MARYLAND SOLE PROVIDER (01) | MD |