Doctor Name: | SALLY ANN MONN |
NPI Number: | 1700272861 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 11840 |
Business Practice Address: | 409 S Central Ave Elementary School White Sulphur Springs, MT - 596459135 |
Business Phone Number: | 4066977857 |
Business Fax Number: | 4065473922 |
Mailing Address: | Po Box 526, WHITE SULPHUR SPRINGS |
State: | MT |
Postal Code: | 596450526 |
Phone Number: | 4066977857 |
Fax Number: | 4065473922 |
NPI Enumeration Date: | 04/15/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 11840 |
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 |