Doctor Name: | MRS. SUSAN KAY GARNER |
NPI Number: | 1033296512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CADC, MISA II |
License Number: | |
Business Practice Address: | 323 W Mulberry St Watseka, IL - 609701568 |
Business Phone Number: | 8154325241 |
Business Fax Number: | 8154324537 |
Mailing Address: | 323 W Mulberry St, Po Box 322 WATSEKA |
State: | IL |
Postal Code: | 609701568 |
Phone Number: | 8154325241 |
Fax Number: | 8154324537 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |