Individual
MRS. RYE SCULLY PALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
420 W BROADWAY ST, MISSOULA, MT 59802-4114
(406) 531-1857
Mailing address
420 E BROADWAY ST, MISSOULA, MT 59802-4615
(406) 531-1857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
867
MT
Other
Enumeration date
07/08/2009
Last updated
10/22/2018
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