Individual
DEBORAH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
321 E MAIN ST STE 317, BOZEMAN, MT 59715-4721
(406) 579-2743
Mailing address
2950 UPPER RAINBOW RD, BOZEMAN, MT 59718-7647
(406) 579-2743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-70248
MT
Other
Enumeration date
01/03/2022
Last updated
10/21/2024
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