Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 22485 | MD |
NPI | 1003353798 |
---|---|
Provider Name | Mwuese Igyor |
First Address | Baltimore, MD 21214-1207 |
Second Address | Baltimore, MD 21214-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2017 |
Last Update Date | 19/01/2017 |