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Individual

BRYANN LEA BAUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4558
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4558

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-41743
MT

Other

Enumeration date
04/01/2020
Last updated
04/01/2020
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