Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 16925 | MD |
NPI | 1003189317 |
---|---|
Provider Name | Sarah Lou Pickeral |
First Address | Baltimore, MD 21210-2024 |
Second Address | Baltimore, MD 21210-2024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2012 |
Last Update Date | 16/02/2012 |