Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 27679 | MD |
NPI | 1003582438 |
---|---|
Provider Name | Christine Elizabeth Beehler |
First Address | Point Of Rocks, MD 21777-2005 |
Second Address | Olney, MD 20832-3306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2021 |
Last Update Date | 17/08/2021 |