Organization
MINDFUL SPACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ROSSETTO FRUTIGER LCSW (LCSW)
(907) 202-0126
Entity
Organization
Contact information
Practice address
424 BAKER AVE UNIT 5318, WHITEFISH, MT 59937-7139
(907) 202-0126
Mailing address
PO BOX 5318, WHITEFISH, MT 59937-5318
(907) 202-0126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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