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Individual

MR. ROBERT J. PIERSALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
725 6TH AVE E, SUITE 12, KALISPELL, MT 59901-5005
(406) 755-3134
Mailing address
725 6TH AVE E, SUITE 12, KALISPELL, MT 59901-5005
(406) 755-3134

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
199
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000501878
MT
01
07006-1
BCBS OF MONTANA
MT
Enumeration date
05/10/2007
Last updated
07/08/2007
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