Individual
STACY LYNN MCELDERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35401 MISSION DR, SAINT IGNATIUS, MT 59865-7791
(406) 745-3525
Mailing address
41868 SAINT MARYS LAKE RD, ST IGNATIUS, MT 59865-9750
(406) 370-7686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-44859
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477745370
—
MT
Enumeration date
11/18/2020
Last updated
12/03/2024
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