Provider Demographics
NPI:1194019596
Name:RATLIFF, TONIE MARIE (CSW - 121)
Entity Type:Individual
Prefix:
First Name:TONIE
Middle Name:MARIE
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:CSW - 121
Other - Prefix:
Other - First Name:TONIE
Other - Middle Name:MARIE
Other - Last Name:FEATHERINGILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW - 121
Mailing Address - Street 1:748 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3036
Mailing Address - Country:US
Mailing Address - Phone:307-332-2231
Mailing Address - Fax:307-332-9338
Practice Address - Street 1:748 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3036
Practice Address - Country:US
Practice Address - Phone:307-332-2231
Practice Address - Fax:307-332-9338
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYCSW-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical