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Organization

BUFFALO HEART HEALING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENNA RAE LOVE LCSW (PROVIDER)
(406) 493-5423
Entity
Organization

Contact information

Practice address
415 N HIGGINS AVE STE 111A, MISSOULA, MT 59802-4561
(406) 493-5423
(406) 721-6901
Mailing address
415 N HIGGINS AVE STE 111A, MISSOULA, MT 59802-4561
(406) 493-5423
(406) 721-6901

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/17/2018
Last updated
04/30/2019
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