Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA M. GANNON, LISW
Active Sole ProprietorSANDRA M. GANNON, LISW is a Clinical Social Worker healthcare provider located in NORTH ENGLISH, Iowa. NPI 1770562613 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NORTH ENGLISH, IA
Registration Details
- NPI Number
- 1770562613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2006 (20.577762706284 yrs)
- Last Updated
- Jun 16, 2016
- License
-
00590 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 SOUTH MAIN STREETNORTH ENGLISH, IA, 52316Browse IA providers · Browse ZIP 52316
- Phone
- 3196643333
- Fax
- 8444485484
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.