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Individual

TIANA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2423 MULLAN RD, MISSOULA, MT 59808-1827
(406) 219-7494
Mailing address
PO BOX 3138, MISSOULA, MT 59806-3138
(406) 219-7494

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-19761
MT

Other

Enumeration date
02/09/2019
Last updated
04/23/2026
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