Individual
JAYNE ROSSO SEABROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 360-3730
Mailing address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 360-3730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-12361
MT
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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