Individual
TIMOTHY HARTMAN SOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
205 E PARK AVE, ANACONDA, MT 59711-2340
(406) 563-8117
(406) 563-5956
Mailing address
20 3RD ST E, KALISPELL, MT 59901-4573
(406) 755-9471
(406) 756-8113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
903
MT
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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