Individual
MARIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 S 5TH ST W, MISSOULA, MT 59801-2619
(404) 272-5558
Mailing address
800 KENSINGTON AVE, STE 208, MISSOULA, MT 59801
(406) 272-5558
(833) 633-6175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-30265
MT
Other
Enumeration date
04/24/2018
Last updated
12/09/2020
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