Individual
CARMELITA ANN MATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, SWLC
Contact information
Practice address
1724 FAIRVIEW AVE STE A, MISSOULA, MT 59801-7873
(406) 214-3810
(406) 720-7806
Mailing address
PO BOX 1144, ST IGNATIUS, MT 59865-1144
(406) 214-1426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-70496
MT
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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