NPI | 1740342500 |
---|---|
Other Name | IRNEL L STEPHEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY R013798) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R013798) |
1041S0200X Social Worker, School | |
Enumeration Date | 2006-12-15 |
Last Update Date | 2007-07-26 |