Individual
LEAH MACK ORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 W KENT AVE, MISSOULA, MT 59801-5309
(406) 570-1762
Mailing address
2 6TH AVE E, POLSON, MT 59860-2726
(406) 570-1762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12016
MT
Other
Enumeration date
06/01/2015
Last updated
09/15/2020
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