Individual
MS. MARY JO BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
210 N HIGGINS AVE, SUITE 338, MISSOULA, MT 59802-4462
(406) 829-1300
(406) 829-1400
Mailing address
210 N HIGGINS AVE, SUITE 338, MISSOULA, MT 59802-4462
(406) 829-1300
(406) 829-1400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
559
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000050182
MEDICARE PTAN
MT
05
—
501993
—
MT
01
—
71423
BLUE CROSS BLUE SHIELD
MT
Enumeration date
04/24/2007
Last updated
12/03/2011
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