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Individual

MR. PATRICK WOLBERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
320 N MAIN ST, SUITE 2, LIVINGSTON, MT 59047-2045
(406) 223-2002
(406) 294-0967
Mailing address
PO BOX 657, LIVINGSTON, MT 59047-0657
(406) 223-2002
(406) 294-0967

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
151LCSW
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0500552
MT
Enumeration date
08/10/2006
Last updated
07/08/2007
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