Doctor Name: | MARY JANE FOX |
NPI Number: | 1013088160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 228 |
Business Practice Address: | 240 Zimmerman Rd Kalispell, MT - 599014653 |
Business Phone Number: | 4062506375 |
Business Fax Number: | |
Mailing Address: | Po Box 1301, KALISPELL |
State: | MT |
Postal Code: | 599031301 |
Phone Number: | 4062506375 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |