Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 102258 | MA |
NPI | 1053896175 |
---|---|
Provider Name | Edna Bishop Jarman |
First Address | Ipswich, MA 01938-1131 |
Second Address | Amesbury, MA 01913-5400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2018 |
Last Update Date | 25/09/2018 |