Individual
ALICE FAYE MAINWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWLC
Contact information
Practice address
274 OLD CORVALLIS RD STE X, HAMILTON, MT 59840-3213
(406) 241-5755
Mailing address
PO BOX 622, HAMILTON, MT 59840-0622
(406) 207-0535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-50372
MT
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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