Individual
MARY LYNN JORDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 E EVERGREEN DR, KALISPELL, MT 59901-2416
(406) 496-6314
(406) 494-1724
Mailing address
PO BOX 726, KALISPELL, MT 59903-0726
(406) 751-1131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255892
—
MT
Enumeration date
03/04/2008
Last updated
03/04/2008
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