Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003123571 |
---|---|
Provider Name | Mrs. Ginger Ann Law |
First Address | New Port Richey, FL 34652-1409 |
Second Address | Pinellas Park, FL 33781-2658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 07/09/2010 |