Individual provider · Type 1 NPI
Wanderley Timas
School Social Worker · South Boston, MA
NPI number
1043706187
Active
Practice location
95 G St
South Boston, MA 02127-2920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 219980 (MA) |
School Social Worker: Definition to come...
About NPI 1043706187
Wanderley Timas's National Provider Identifier is 1043706187, issued on Jul 2, 2018. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in South Boston, MA. The record was last updated on Jul 2, 2018.