Individual
EMILY KAYELYN MITTELSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWLC
Contact information
Practice address
2620 CONNERY WAY, MISSOULA, MT 59808
(406) 203-9948
Mailing address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MT
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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