Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003451725 |
---|---|
Provider Name | Martha Christine Brown |
First Address | Millersville, PA 17551 |
Second Address | Harrisburg, PA 17104-1366 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2019 |
Last Update Date | 10/12/2020 |