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Individual

MELISSA THAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
274 OLD CORVALLIS RD UNIT Y, HAMILTON, MT 59840-3213
(801) 756-3664
Mailing address
PO BOX 581, DARBY, MT 59829-0581
(801) 427-2607
(801) 756-3698

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
3496723501
UT
104100000X
Social Worker
Primary
39783
MT

Other

Enumeration date
12/18/2006
Last updated
01/21/2021
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