Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003483058 |
---|---|
Provider Name | Emily Brooks Warren |
First Address | Getzville, NY 14068-1205 |
Second Address | Getzville, NY 14068-1205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2021 |
Last Update Date | 15/06/2021 |