Individual provider · NPI-1
Autumn Colbert, LGSW
Social Worker · White Plains, MD
NPI number1063837664
StatusActive
Last updated in NPPESFeb 19, 2014
Details
- NPI
- 1063837664
- Entity type
- Individual (NPI-1)
- Name
- Autumn Colbert
- Credential
- LGSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2014
- Last updated
- Feb 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 19441 | MD | Yes |
Practice location
4475 Regency PlSuite 205
White Plains, MD 20695-3072
Phone 240-427-3554
Mailing address
4475 Regency PlSuite 205
White Plains, MD 20695-3072
Phone 240-427-3554
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