Individual
MS. ELIZABETH GRACE MENAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1940 W DICKERSON ST, SUITE 102, BOZEMAN, MT 59718-6851
(917) 207-9763
(406) 587-2292
Mailing address
1940 W DICKERSON ST, SUITE 102, BOZEMAN, MT 59718-6851
(917) 207-9763
(406) 587-2292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
087906-1
NY
1041C0700X
Clinical Social Worker
Primary
12272
MT
Other
Enumeration date
03/03/2014
Last updated
09/08/2015
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