Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 22623 | MD |
NPI | 1003343377 |
---|---|
Provider Name | Dr. Cynthia Shyvonne Wright |
First Address | Germantown, MD 20874-3783 |
Second Address | Hyattsville, MD 20783-3284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2017 |
Last Update Date | 17/05/2017 |