Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LC50078536 | DC |
NPI | 1003145202 |
---|---|
Provider Name | James Fletcher Robinson IV |
First Address | Washington, DC 20016 |
Second Address | Washington, DC 20016-5014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2009 |
Last Update Date | 17/12/2009 |