Individual
MELODY D SAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
55 BASIN CREEK RD, BUTTE, MT 59701-9704
(406) 496-6314
(406) 494-1724
Mailing address
PO BOX 866, CHINOOK, MT 59523-0866
(406) 353-2258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1398
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477745370
—
MT
Enumeration date
05/11/2009
Last updated
05/11/2009
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