Individual
OLIVIA HOCKENBROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWLC
Contact information
Practice address
3819 STEPHENS AVE STE 300, MISSOULA, MT 59801-8522
(406) 215-2225
Mailing address
PO BOX 3138, MISSOULA, MT 59806-3138
(717) 525-0074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-56639
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-SWLC-LIC-56639
SWLC
MT
Enumeration date
07/13/2022
Last updated
07/13/2022
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