Individual
ROBERT A F VANMARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
557 US HIGHWAY 93 S, HAMILTON, MT 59840-9710
(406) 363-6900
Mailing address
557 US HIGHWAY 93 S, HAMILTON, MT 59840-9710
(406) 363-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
227
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502741
—
MT
01
—
071370
BCBS
—
01
—
0810645
MEDICAID
MT
Enumeration date
01/24/2007
Last updated
11/05/2007
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