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Individual

LEAH ELAINE DIERCKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1925 GRAND AVE STE 100, BILLINGS, MT 59102-2763
(406) 780-1205
Mailing address
137 OLD MILL RD, PARK CITY, MT 59063-8033
(406) 780-1205

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-36636
MT

Other

Enumeration date
01/06/2019
Last updated
01/06/2019
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