Individual
KELLIE D MILDENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 W MAIN ST STE 203, HAMILTON, MT 59840-2443
(406) 363-2873
(406) 258-0637
Mailing address
PO BOX 1707, HAMILTON, MT 59840-1707
(406) 363-2873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12274
MT
Other
Enumeration date
07/22/2015
Last updated
11/04/2021
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