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Organization
WELLSPRING THERAPEUTIC SERVICES
Active
Organization
WELLSPRING THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MARIANI (OWNER/OPERATOR)
(406) 314-0152
Entity
Organization
Contact information
Practice address
725 6TH AVE E, KALISPELL, MT 59901-5005
(406) 314-0152
Mailing address
725 6TH AVE E, KALISPELL, MT 59901-5005
(406) 314-0152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11384
MT
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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