Doctor Name: | MARY SNYDER |
NPI Number: | 1104156603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 125 S 4th St Oregon, IL - 610611609 |
Business Phone Number: | 8157323157 |
Business Fax Number: | |
Mailing Address: | 870 Prairie Lily Ln, DAVIS JUNCTION |
State: | IL |
Postal Code: | 610209450 |
Phone Number: | 8155194937 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2010 |
NPI Last Update Date: | 01/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |