Individual
MARY CATHERINE JENNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 N ORANGE ST STE 103, MISSOULA, MT 59802-2951
(406) 329-5776
(406) 329-1796
Mailing address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-5776
(406) 329-1796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24347
MT
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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