Individual
AMY GAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
307 1ST AVE E STE 16, KALISPELL, MT 59901-4965
(406) 529-1104
(406) 730-5971
Mailing address
PO BOX 446, KALISPELL, MT 59903-0446
(406) 529-1104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-38947
MT
Other
Enumeration date
05/20/2021
Last updated
11/16/2022
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