Individual
JEAN ALLISON CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
63917 US HWY- 93, RONAN, MT 59864-3411
(865) 368-5298
(406) 571-4008
Mailing address
44959 SCHOOLHOUSE LN, CHARLO, MT 59824-9449
(865) 368-5298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29808
MT
Other
Enumeration date
02/15/2018
Last updated
01/28/2022
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