Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | LG2000001 | DC |
NPI | 1003581687 |
---|---|
Provider Name | Monica Patel |
First Address | Baltimore, MD 21201-1708 |
Second Address | Washington, DC 20001-4153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2021 |
Last Update Date | 15/08/2021 |