NPI | 1902387699 |
---|---|
Former Name | AMY M STOGNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 5629) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 5629) |
Enumeration Date | 2018-08-22 |
Last Update Date | 2024-04-16 |