# MARY JO BARRETT LCSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417212341
- **Authorized official:** MARY JO BARRETT LCSW (OWNER)
- **Authorized official phone:** (406) 829-1300

## Contact information

- **Practice address:** 210 N HIGGINS AVE STE 338, MISSOULA, MT 59802-4443
- **Practice address phone:** (406) 829-1300
- **Mailing address:** 210 N HIGGINS AVE STE 338, MISSOULA, MT 59802-4443
- **Mailing address phone:** (406) 829-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 559-LCSW | MT | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 07/06/2012