| NPI | 1447679519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY THOMPSON-FISHER Clinical Social Worker 443-867-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10538) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |