Organization
EMMA'S HOUSE CAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE LAURENCE WIDMER LCSW (DIRECTOR)
(406) 363-7216
Entity
Organization
Contact information
Practice address
800 N 2ND ST, HAMILTON, MT 59840-2112
(406) 363-7216
Mailing address
PO BOX 2034, HAMILTON, MT 59840-4034
(406) 363-7216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
838
MT
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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