Individual
MARIA GANTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
76 3RD AVE, ST. IGNATIUS, MT 59865
(443) 810-5808
Mailing address
PO BOX 443, BONNER, MT 59823-0443
(443) 810-5808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-37552
MT
Other
Enumeration date
04/24/2019
Last updated
02/20/2024
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