Individual
MR. BOB GILBERTR ZADOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
2000 CLARK ST, MILES CITY, MT 59301-2726
(406) 234-4885
Mailing address
1014 S STREVELL AVE, MILES CITY, MT 59301-4918
(406) 234-2592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 595
MT
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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