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Organization
KATHERINE L. GILLISPIE, LCSW, BCBA
Active
Organization
KATHERINE L. GILLISPIE, LCSW, BCBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE L. GILLISPIE LCSW, BCBA (OWNER)
(406) 529-9516
Entity
Organization
Contact information
Practice address
415 NORTH HIGGINS AVENUE, SUITE 111A, MISSOULA, MT 59802-9926
(406) 529-9516
(888) 978-6176
Mailing address
PO BOX 5814, MISSOULA, MT 59806-5814
(406) 529-9516
(888) 978-6176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
964
MT
Other
Enumeration date
12/08/2016
Last updated
12/12/2016
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