Doctor Name: | KATHERINE I CONTWAY |
NPI Number: | 1972767531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | 24486 |
Business Practice Address: | 204 Courthouse Dr Salmon, ID - 83467 |
Business Phone Number: | 2087562619 |
Business Fax Number: | |
Mailing Address: | Po Box 1554, SALMON |
State: | ID |
Postal Code: | 83467 |
Phone Number: | 2087562619 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 24486 |
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 |