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Individual

MS. MARY LOUISE QUINT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
600 CENTRAL PLAZA, STE 300, GREAT FALLS, MT 59401-3141
(406) 452-1171
(406) 452-4412
Mailing address
600 CENTRAL PLAZA, STE 300, GREAT FALLS, MT 59401-3141
(406) 452-1171
(406) 452-4412

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MT538LCSW
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000502231
MT
Enumeration date
07/20/2006
Last updated
07/08/2007
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