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Individual

SERENE CUSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
900 N ORANGE ST STE 202, MISSOULA, MT 59802-2951
(406) 327-3362
(406) 327-3349
Mailing address
PO BOX 3964, MISSOULA, MT 59806-3964
(406) 481-4898
(406) 327-3349

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-53910
MT

Other

Enumeration date
02/16/2022
Last updated
01/11/2024
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