Individual
MARCUS ORDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 MCDONALD AVE APT A, MISSOULA, MT 59801-8562
(845) 444-4928
Mailing address
1209 MCDONALD AVE APT A, MISSOULA, MT 59801-8562
(845) 444-4928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
39008
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-57394
MT
Other
Enumeration date
01/12/2022
Last updated
11/14/2022
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