| Doctor Name: | MRS. ANGELA M MUNSON |
| NPI Number: | 1649521162 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW-33877 |
| Business Practice Address: | 427 N 12th St Plummer, ID - 838510388 |
| Business Phone Number: | 2089640042 |
| Business Fax Number: | 2087732811 |
| Mailing Address: | Po Box 388, 427 N 12th St PLUMMER |
| State: | ID |
| Postal Code: | 838510388 |
| Phone Number: | 2086861931 |
| Fax Number: | 2086865813 |
| NPI Enumeration Date: | 09/24/2012 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-33877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |