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Individual

CARLA VALERIE LAURENCE WIDMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
800 N 2ND ST, HAMILTON, MT 59840-2112
(406) 531-8845
Mailing address
512 S 4TH ST, HAMILTON, MT 59840-2739
(406) 531-8845

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
872
MT

Other

Enumeration date
05/21/2014
Last updated
05/21/2014
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