Individual
STACY JO MAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4115 SAXONY PL, MISSOULA, MT 59808-5252
(406) 671-4797
Mailing address
4115 SAXONY PL, MISSOULA, MT 59808-5252
(406) 671-4797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
988
MT
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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