Individual
MACKENZIE ALI STIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
405 S 1ST ST W, MISSOULA, MT 59801-1850
(406) 541-8472
Mailing address
209 HICKORY ST APT 302, MISSOULA, MT 59801-1927
(406) 580-7050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-78383
MT
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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