Individual
KATHLEEN HEISKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
211 3RD AVE E, POLSON, MT 59860-2344
(509) 590-5240
Mailing address
PO BOX 1722, POLSON, MT 59860-1722
(509) 590-5240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
48939
MT
Other
Enumeration date
06/17/2021
Last updated
06/30/2021
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