Individual
ALYSE LAST STAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2340 MULLAN RD, MISSOULA, MT 59808-1830
(406) 258-4039
Mailing address
2340 MULLAN RD, MISSOULA, MT 59808-1830
(406) 258-4039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-72362
MT
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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