Leeann Jeanette Funk LCSW

NPI 1750418646 - Social Worker - 1041C0700X

NPI Details
NPI 1750418646
Gender Female
Enumeration Date 02/27/2007
Last Updated 06/16/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
310 W LOSEY ST
FAMILY ADVOCACY PROGRAM BUILDING 1533
SCOTT AIR FORCE BASE IL, 62225-5250, US
Phone (618) 256-7203
Fax (618) 256-7246
Business Location
2161 NW MILITARY HWY
CMSE SUITE 308
SAN ANTONIO TX, 78213-1878, US
Phone (210) 341-3336
Fax (210) 341-3455
Toxanomy
Taxonomy Code 1041C0700X
License State Missouri
License Number 2001004059
Remove 1750418646 NPI Number
 

According to our database, Ms. Leeann Jeanette Funk LCSW NPI is 1750418646, taxonomy code is 1041C0700X and license number is 2001004059, license state is located at Missouri. Leeann Jeanette Funk LCSW physically located at 310 W Losey St, Scott Air Force Base IL, 62225-5250. NPI Number Leeann Jeanette Funk LCSW has the Individual type.

Sponsored links

1750418646 NPI number is provided on an as is basis without warranty of any kind. 1750418646 is maintained by the National Plan & Provider Enumeration System. The contents of Leeann Jeanette Funk LCSW are for informational purposes only.