Individual
KEILAH CATHERINE POMEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 S BROADWAY ST, MANHATTAN, MT 59741-2241
(406) 672-2452
Mailing address
PO BOX 389, MANHATTAN, MT 59741-0389
(064) 672-2452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12177
MT
104100000X
Social Worker
LW60651917
WA
1041C0700X
Clinical Social Worker
Primary
LW60651917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2178044
—
WA
Enumeration date
07/13/2015
Last updated
10/14/2021
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