Individual
BRYNN DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 MAIN STREET BOX #702, CORVALLIS, MT 59828
(406) 361-0110
(406) 573-1080
Mailing address
1967 N 1ST ST APT B, HAMILTON, MT 59840-3198
(406) 361-0110
(406) 573-1080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-64715
MT
Other
Enumeration date
02/27/2024
Last updated
10/07/2024
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