Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101YS0200X | School Counselor |
NPI | 1104156827 |
---|---|
Provider Name | Mrs. Carrie Michael Spagnuola |
First Address | Wayne, PA 19087-2618 |
Second Address | Wayne, PA 19087-2618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2009 |
Last Update Date | 31/12/2009 |