Individual
ARIANE NICOLE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1543 MACKINAW LOOP, SOMERS, MT 59932
(406) 253-3843
Mailing address
1543 MACKINAW LOOP, SOMERS, MT 59932-9794
(406) 253-3843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-33482
MT
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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