Individual
ANN ELIZABETH FINNEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6110 AVON LN, MISSOULA, MT 59803-9514
(509) 954-6198
Mailing address
6110 AVON LN, MISSOULA, MT 59803-9514
(509) 954-6198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-38727
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LCSW-LIC-38727
SOCIAL WORK
MT
Enumeration date
10/20/2010
Last updated
12/01/2020
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