Individual
TAMIKA XENIA BLAISDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9285 LOST PRAIRIE ROAD, MARION, MT 59925
(406) 407-0750
Mailing address
432 E IDAHO ST STE 430, KALISPELL, MT 59901-4137
(406) 407-0750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28856
CA
Other
Enumeration date
07/14/2014
Last updated
10/18/2023
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