Individual
ABBI A FETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 VENTURE WAY, BOULDER, MT 59632
(406) 225-4617
Mailing address
PO BOX 1088, BOULDER, MT 59632-1088
(406) 304-8264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-55252
MT
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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