Doctor Name: | JOETTE VIGNERY |
NPI Number: | 1497049241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4455 |
Business Practice Address: | 210 W 21st St Concordia, KS - 669015200 |
Business Phone Number: | 7852438900 |
Business Fax Number: | 7852438933 |
Mailing Address: | Po Box 747, MANHATTAN |
State: | KS |
Postal Code: | 665050747 |
Phone Number: | 7855874346 |
Fax Number: | 7855874377 |
NPI Enumeration Date: | 06/08/2011 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |