Organization
NURTURE WHOLENESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA D KENNELLY LCSW (PRESIDENT)
(406) 209-8450
Entity
Organization
Contact information
Practice address
309 WISCONSIN AVE, WHITEFISH, MT 59937-2319
(406) 209-8450
Mailing address
15 MONTANA AVE, WHITEFISH, MT 59937-2224
(406) 209-8450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12305
MT
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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