Individual
MRS. ROULA AGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 N HIGGINS AVE, MISSOULA, MT 59802-4557
(406) 531-2416
(855) 201-3734
Mailing address
PO BOX 3236, MISSOULA, MT 59806-3236
(406) 531-2416
(855) 201-3734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4642
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285057232
—
MT
Enumeration date
01/28/2014
Last updated
07/21/2022
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