Individual
MRS. MACI JANE DEAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 435-7335
(406) 435-7319
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 435-7335
(406) 435-7319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-29844
MT
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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