Individual
ELLIOTT MARGARET EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SWLC
Contact information
Practice address
3819 STEPHENS AVE STE 300, MISSOULA, MT 59801-8522
(406) 215-2225
Mailing address
1400 BURNS ST UNIT 1, MISSOULA, MT 59802-2005
(828) 215-0748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-63474
MT
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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