Individual
CALIA IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 DIXON AVE, MISSOULA, MT 59801-8226
(928) 637-8354
Mailing address
802 1/2 S 6TH ST W, MISSOULA, MT 59801-3966
(928) 637-8354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-81110
MT
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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