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Individual

MS. AMY MELISSAO OLWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
115 W 3RD ST, SUITE 212, STEVENSVILLE, MT 59870-2038
(406) 777-1671
Mailing address
234 HERITAGE ST, STEVENSVILLE, MT 59870-2716
(406) 207-3381

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
508
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0501942
MT
Enumeration date
04/09/2007
Last updated
07/09/2007
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