Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 18494 | MD |
NPI | 1003153974 |
---|---|
Provider Name | Mrs. Jaree Cottman |
First Address | Baltimore, MD 21223-1749 |
Second Address | Baltimore, MD 21223-1749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2013 |
Last Update Date | 11/01/2013 |