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Individual

MS. SONIA MALKA CHESSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC, LCSW

Contact information

Practice address
301 W SUSSEX AVE, MISSOULA, MT 59801-6840
(406) 370-5308
Mailing address
301 W SUSSEX AVE, MISSOULA, MT 59801-6840
(406) 370-5308

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1245
MT
1041C0700X
Clinical Social Worker
Primary
1047
MT

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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