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Individual

CAROL MAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4550 PALISADE DR APT 9105, BOZEMAN, MT 59718-2089
(503) 341-4325
Mailing address
4550 PALISADE DR APT 9105, BOZEMAN, MT 59718-2089
(503) 341-4325

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2953
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2953
LICENSE
OR
Enumeration date
04/24/2014
Last updated
02/20/2023
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