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Individual

SHANNA L. HARRIS ROMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789
(406) 258-4732
Mailing address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24733
MT
1041C0700X
Clinical Social Worker
Primary
38670
MT

Other

Enumeration date
11/09/2010
Last updated
09/05/2019
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