Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MI |
NPI | 1003438417 |
---|---|
Provider Name | Patricia Ann Arnold |
First Address | Eastpointe, MI 48021-2940 |
Second Address | Eastpointe, MI 48021-2940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2020 |
Last Update Date | 08/05/2020 |