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Individual

TIFFANY BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4214 HERMIONE LN, MISSOULA, MT 59808-5255
(406) 830-6235
Mailing address
4214 HERMIONE LN, MISSOULA, MT 59808-5255
(406) 830-6235

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39559
MT

Other

Enumeration date
11/12/2019
Last updated
12/18/2019
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