Individual
LOGAN M SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
410 TRIPLE CROWN ST, BELGRADE, MT 59714-3402
(406) 388-1309
Mailing address
410 TRIPLE CROWN ST, BELGRADE, MT 59714-3402
(406) 388-1309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-64380
MT
Other
Enumeration date
08/01/2023
Last updated
09/14/2023
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