Individual
MITCH GUERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1001 SW HIGGINS AVE STE 206, MISSOULA, MT 59803
(406) 381-3473
Mailing address
1001 SW HIGGINS AVE STE 206, MISSOULA, MT 59803-1340
(406) 381-3473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1059
MT
Other
Enumeration date
01/06/2014
Last updated
07/17/2018
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