Individual
MRS. MARCIA JO THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 RIVER RD, KALISPELL, MT 59901-2823
(406) 756-8721
(406) 257-4054
Mailing address
14 RIVER RD, KALISPELL, MT 59901-2823
(406) 756-8721
(406) 257-4054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
973-LCSW
MT
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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