Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 23134 | MD |
NPI | 1003321779 |
---|---|
Provider Name | Mrs. Krystle Linnette Tinsley |
First Address | Silver Spring, MD 20910-2701 |
Second Address | Silver Spring, MD 20910-2701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2017 |
Last Update Date | 11/06/2019 |