Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 16084 | MD |
N | 1041C0700X | Clinical Social Worker | 9686 | SC |
NPI | 1003106576 |
---|---|
Provider Name | Mrs. Jenifer Cronin Winkler |
First Address | Frederick, MD 21701-5715 |
Second Address | Frederick, MD 21701-5715 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 18/04/2011 |