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Individual

REBECCA KWON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
700 SW HIGGINS AVE STE 109, MISSOULA, MT 59803-1489
(406) 200-8580
Mailing address
700 SW HIGGINS AVE STE 109, MISSOULA, MT 59803-1489
(406) 200-8580

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52429
MT
1041C0700X
Clinical Social Worker
BBH-SWLC-LIC-38869
MT

Other

Enumeration date
04/17/2020
Last updated
03/20/2022
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