Individual
MS. LINEA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1477 S FORK NEMOTE CREEK RD, SUPERIOR, MT 59872-9681
(406) 239-3530
Mailing address
PO BOX 16764, MISSOULA, MT 59808-6764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-23211
MT
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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