Provider Demographics
NPI:1467997122
Name:DEVOR, DAWN C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:C
Last Name:DEVOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 3RD AVE N
Mailing Address - Street 2:SUITE B6
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1934
Mailing Address - Country:US
Mailing Address - Phone:406-545-9897
Mailing Address - Fax:
Practice Address - Street 1:2822 3RD AVE N
Practice Address - Street 2:SUITE B6
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1934
Practice Address - Country:US
Practice Address - Phone:406-545-9897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-46661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical