Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 27444 | TX |
NPI | 1003021031 |
---|---|
Provider Name | Mrs. Mary Elizabeth Woods Dowden |
First Address | Tomball, TX 77375-5135 |
Second Address | Tomball, TX 77375-5135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2007 |
Last Update Date | 08/07/2007 |