Most Relevant Information
Provider Data
| NPI Number: | 1003039587 |
| Provider Name: | ANN LOUISE PEMBERTON LCSW-C |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 18040 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 11/13/2020 |
Provider Practice Location
5511 HILLFALL CT
COLUMBIA
MD
210452427
Practice Location Phone/Fax
| Phone: | 4104936053 |
| Fax: | 4437189936 |
Provider Mailing Location
5511 HILLFALL CT
COLUMBIA
MD
210452427
Provider Mailing Phone/Fax
| Phone: | 4104936053 |
| Fax: | 4437189936 |