Individual
NICOLE WALKSALONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
974 PAYTON AVE, HARDIN, MT 59034-2405
(406) 850-0956
Mailing address
974 PAYTON AVE, HARDIN, MT 59034-2405
(406) 850-0956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW-53250
MT
1041C0700X
Clinical Social Worker
Primary
LCSW-53250
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LCSW-53250
—
MT
Enumeration date
12/14/2021
Last updated
02/01/2022
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