Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 18587 | MD |
NPI | 1003292756 |
---|---|
Provider Name | Janel Thompson |
First Address | Silver Spring, MD 20904 |
Second Address | Silver Spring, MD 20904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2015 |
Last Update Date | 05/08/2015 |