Individual
MRS. TACOMA RAIN MENDELSOHN LONGWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 MONTANA ST APT A, BELGRADE, MT 59714-4027
(406) 579-3963
Mailing address
602 MONTANA ST APT A, BELGRADE, MT 59714-4027
(406) 579-3963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
07/01/2025
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