Provider Demographics
NPI:1043652035
Name:FINCH, WANDA L (LICSW, CAS)
Entity Type:Individual
Prefix:
First Name:WANDA
Middle Name:L
Last Name:FINCH
Suffix:
Gender:F
Credentials:LICSW, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13003 N POINT LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2345
Mailing Address - Country:US
Mailing Address - Phone:301-776-6574
Mailing Address - Fax:
Practice Address - Street 1:13003 N POINT LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2345
Practice Address - Country:US
Practice Address - Phone:301-776-6574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50078901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical