Individual
SANDRA M. GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
103 SOUTH MAIN STREET, NORTH ENGLISH, IA 52316
(319) 664-3333
(844) 448-5484
Mailing address
P.O. BOX 189, 103 SOUTH MAIN STREET, NORTH ENGLISH, IA 52316
(319) 664-3333
(844) 448-5484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00590
IA
Other
Enumeration date
01/10/2006
Last updated
06/16/2016
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