Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 07823 | MD |
NPI | 1003177189 |
---|---|
Provider Name | Patricia Anne Williams |
First Address | Parkville, MD 21234-5632 |
Second Address | Baltimore, MD 21216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 05/06/2012 |