Organization
KATHERINE L. GILLISPIE, LCSW, BCBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE L. GILLISPIE LCSW, BCBA (OWNER)
(406) 529-9516
Entity
Organization
Contact information
Practice address
415 NORTH HIGGINS AVENUE, SUITE 111A, MISSOULA, MT 59802-9926
(406) 529-9516
(888) 978-6176
Mailing address
PO BOX 5814, MISSOULA, MT 59806-5814
(406) 529-9516
(888) 978-6176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
964
MT
Other
Enumeration date
12/08/2016
Last updated
12/12/2016
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