Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | 150.013389 | IL |
Y | 1041C0700X | Clinical Social Worker | I.1700715 | OH |
NPI | 1003187394 |
---|---|
Provider Name | Colleen Marie Joyce |
First Address | Cincinnati, OH 45227-1491 |
Second Address | Cincinnati, OH 45227-1491 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2012 |
Last Update Date | 22/01/2018 |