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Individual

TIMOTHY C. MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1315 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9700
(406) 541-3035
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
(406) 532-9316

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
976
MT

Other

Enumeration date
11/04/2010
Last updated
11/04/2010
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