Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 14242 | MD |
NPI | 1003058512 |
---|---|
Provider Name | Ms. Sarah Muir Zeleznik |
First Address | Manassas, VA 20112-7810 |
Second Address | Manassas, VA 20109-5698 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2009 |
Last Update Date | 15/07/2016 |