Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 16740-130 | WI |
NPI | 1003112608 |
---|---|
Provider Name | Mrs. Carol Marie Rowley |
First Address | Madison, WI 53719-1129 |
Second Address | Madison, WI 53719-1129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2011 |
Last Update Date | 26/06/2013 |