Individual
VIRGINIA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1018 BURLINGTON AVE STE 205, MISSOULA, MT 59801-5666
(406) 880-6417
Mailing address
1018 BURLINGTON AVE STE 205, MISSOULA, MT 59801-5666
(406) 880-6417
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
72584
MT
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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