Organization
MARY JO BARRETT LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO BARRETT LCSW (OWNER)
(406) 829-1300
Entity
Organization
Contact information
Practice address
210 N HIGGINS AVE STE 338, MISSOULA, MT 59802-4443
(406) 829-1300
Mailing address
210 N HIGGINS AVE STE 338, MISSOULA, MT 59802-4443
(406) 829-1300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
559-LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7755009
—
MT
Enumeration date
07/06/2012
Last updated
07/06/2012
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