Individual
DEBRA VIEGUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 KENSINGTON AVE STE 211C, MISSOULA, MT 59801-5670
(406) 531-4470
Mailing address
3019 CRISCO LANE, MISSOULA, MT 59803
(406) 531-4470
(406) 926-3009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113637401
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7184645
—
MT
Enumeration date
10/28/2015
Last updated
09/06/2017
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