Individual
AMY GAZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWLC
Contact information
Practice address
1325 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9700
Mailing address
1939 S 3RD ST W APT 3, MISSOULA, MT 59801-2292
(406) 579-4874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-64752
MT
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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