Individual
MARITSA ELENA SAUCEDO-GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3885 W BROADWAY ST, MISSOULA, MT 59808-5796
(406) 215-0100
Mailing address
3885 W BROADWAY ST, MISSOULA, MT 59808-5796
(406) 215-0100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BBH-LMSW-LIC-57316
MT
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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