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Organization
ELKHORN PROFESSIONAL SERVICES
Active
Organization
ELKHORN PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOREST HENNING LCSW LMFT (THERAPIST)
(406) 531-0702
Entity
Organization
Contact information
Practice address
101 E BROADWAY ST STE 405, MISSOULA, MT 59802-4510
(406) 531-0702
Mailing address
PO BOX 4821, MISSOULA, MT 59806-4821
(406) 531-0702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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