Individual
MOLLY MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCWS
Contact information
Practice address
115 W KAGY BLVD, BOZEMAN, MT 59715-6027
(385) 208-1798
Mailing address
115 W KAGY BLVD STE D, BOZEMAN, MT 59715-6043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-72693
MT
Other
Enumeration date
09/23/2024
Last updated
09/25/2024
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