Individual
ELIZABETH BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4455 ANNIE ST, BOZEMAN, MT 59718-5705
(406) 522-4647
Mailing address
509 W OLIVE ST, BOZEMAN, MT 59715-4549
(307) 399-7329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-64266
MT
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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