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Organization

THOMAS HODGETTS, LCSW PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS HODGETTS LCSW (OWNER)
(406) 239-5279
Entity
Organization

Contact information

Practice address
101 E BROADWAY ST STE 204, MISSOULA, MT 59802-4510
(406) 239-5279
(406) 578-8340
Mailing address
2213 GREENOUGH CT W, MISSOULA, MT 59802-3582
(406) 239-5279

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962791533
MT
Enumeration date
11/16/2022
Last updated
01/17/2023
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