Individual
FREDRICK JOHN MORGANTHALER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
610 N MONTANA ST, DILLON, MT 59725-3353
(406) 683-4013
Mailing address
610 N MONTANA ST, DILLON, MT 59725-3353
(406) 683-4013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
769
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
769
STATE OF MONTANA
MT
Enumeration date
08/21/2007
Last updated
06/12/2012
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