Individual
MRS. KILLIAN LOCKE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
90 N FRONTAGE RD, DEER LODGE, MT 59722-9716
(406) 546-7382
Mailing address
90 N FRONTAGE RD, DEER LODGE, MT 59722-9716
(406) 546-7382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
602
MT
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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