Individual
JULIE GAGNON SKILLICORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1836 SOUTH AVE W, MISSOULA, MT 59801-6510
(406) 396-0197
Mailing address
109 CASCADE ST, LOLO, MT 59847-9613
(406) 396-0197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8760
MT
Other
Enumeration date
11/05/2014
Last updated
02/24/2021
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