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Organization
CAMILLA O. BERGSTROM LCSW PC
Active
Organization
CAMILLA O. BERGSTROM LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMILLA O. HURD LCSW (PRESIDENT)
(406) 736-5613
Entity
Organization
Contact information
Practice address
208 N 29TH ST, SUITES 236-237, BILLINGS, MT 59101-1985
(406) 899-1008
Mailing address
533 EVANS RICEVILLE RD, BELT, MT 59412-8400
(406) 736-5613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
327
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503308
—
MT
Enumeration date
11/17/2006
Last updated
08/22/2020
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