Doctor Name: | CONNIE S DAHL |
NPI Number: | 1144410101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 756 |
Business Practice Address: | 213 6th Ave S Wolf Point, MT - 592011517 |
Business Phone Number: | 4066531200 |
Business Fax Number: | 4066533104 |
Mailing Address: | 505 Johnson St, WOLF POINT |
State: | MT |
Postal Code: | 592011817 |
Phone Number: | 4066531472 |
Fax Number: | 4064941724 |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 756 |
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 |