Individual
MARYLIS J. FILIPOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 S EWING ST, SUITE 200, HELENA, MT 59601-5938
(406) 461-6039
Mailing address
PO BOX 1344, HELENA, MT 59624-1344
(406) 461-6039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
475
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000500157
—
MT
01
—
070313
BLUECROSSBLUESHIELD
MT
01
—
70845
BLUECROSSBLUESHIELD
MT
Enumeration date
04/11/2007
Last updated
03/06/2014
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