Individual
MR. THADDEUS J WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W
Contact information
Practice address
150 MORNING STAR WAY, HAMILTON, MT 59840-3604
(406) 531-8846
Mailing address
512 S 4TH ST, HAMILTON, MT 59840-2739
(406) 531-8846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
860
MT
Other
Enumeration date
03/05/2009
Last updated
03/06/2009
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