Individual
AMY WELLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MT HIGHWAY 91 S, DILLON, MT 59725-3535
(406) 683-1188
Mailing address
1732 S 72ND ST W, BILLINGS, MT 59106-3538
(406) 651-3122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11385
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-0262019
YBGR
MT
Enumeration date
01/30/2015
Last updated
10/14/2020
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