Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 1041C0700X | Clinical Social Worker | 09961 | MD |
NPI | 1245328848 |
---|---|
Provider Name | Dr. Wanda Denise Currie |
First Address | Havre De Grace, MD 21078-2537 |
Second Address | Havre De Grace, MD 21078-2537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 29/11/2007 |