Individual
MS. JEANETTE PRODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
610 MONROE AVE, DILLON, MT 59725-2982
(406) 865-0381
Mailing address
610 MONROE AVE, DILLON, MT 59725-2982
(406) 865-0381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4650-LCSW
MT
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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