Individual
DEREK MINEMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 4TH AVE W, KALISPELL, MT 59901-5206
(406) 607-4900
Mailing address
1131 7TH ST W APT A, KALISPELL, MT 59901-5287
(406) 471-2841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
71496
MT
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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