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Individual

MAGGIE MOFFATT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
505 W MAIN ST, SUITE 225, LEWISTOWN, MT 59457-5703
(406) 538-5990
(406) 538-4564
Mailing address
505 W MAIN ST, SUITE 225, LEWISTOWN, MT 59457-5703
(406) 538-5990
(406) 538-4564

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
541-LCPC
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0256395
MT
01
237771
COMPSYCH CORP
01
7543-3
BLUE CROSS/BLUE SHIELD
01
A974170
VALUE OPTIONS
01
M4580
APS HEALTHCARE
Enumeration date
08/12/2005
Last updated
07/08/2007
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