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Individual

ANGELA DAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
423 CENTRAL AVE, FAIRFIELD, MT 59436
(406) 467-2700
Mailing address
221 10TH LN SW, FAIRFIELD, MT 59436-9527

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0502151
MT
Enumeration date
01/30/2007
Last updated
07/08/2007
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