Doctor Name: | ANN BROWNBACK |
NPI Number: | 1376585737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 338LCSW |
Business Practice Address: | 415 Louisiana Ave Libby, MT - 599232131 |
Business Phone Number: | 4062934329 |
Business Fax Number: | 4062935336 |
Mailing Address: | 415 Louisiana Ave, LIBBY |
State: | MT |
Postal Code: | 599232131 |
Phone Number: | 4062934329 |
Fax Number: | 4062935336 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 338LCSW |
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 |