Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | S42201 | TX |
NPI | 1003085556 |
---|---|
Provider Name | Miss Joannah Ginsburg |
First Address | Fort Worth, TX 76112-5436 |
Second Address | Dallas, TX 75201-1460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 28/02/2008 |