Individual
CONSTANCE ANDVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.W.
Contact information
Practice address
107 H. ST. EAST, 550 6TH AVE. NO., POPLAR, MT 59255
(406) 768-3491
(406) 768-3423
Mailing address
107 H. ST. EAST, POPLAR, MT 59255
(406) 768-3491
(406) 768-3423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
242
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210068
—
MT
01
—
242
MT. ST. BOARD
MT
Enumeration date
09/23/2006
Last updated
07/08/2007
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