Individual
MS. KARISSA RENEE LOUISE TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
330 MAIN ST SW, RONAN, MT 59864-2707
(406) 274-1064
Mailing address
330 MAIN ST SW, RONAN, MT 59864-2707
(406) 274-1064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BBH-SWLC-LIC-72807
MT
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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