Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | SW130368 | PA |
NPI | 1003227497 |
---|---|
Provider Name | Miss Laurie Elizabeth Mawhinney |
First Address | Exton, PA 19341-2603 |
Second Address | Exton, PA 19341-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2014 |
Last Update Date | 19/05/2014 |