Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 112958 | NY |
NPI | 1003573213 |
---|---|
Provider Name | Emily Nora Morris |
First Address | Warren, CT 06777-1125 |
Second Address | New York, NY 10128-2905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2021 |
Last Update Date | 22/11/2021 |