Individual
SAMUEL HEPBURN ORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2 6TH AVE E, POLSON, MT 59860-2726
(406) 241-1693
Mailing address
2 6TH AVE E, POLSON, MT 59860-2726
(406) 241-1693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33127
MT
Other
Enumeration date
11/07/2018
Last updated
05/01/2020
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