Individual
KAREN BLACKBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 BASIN CREEK RD, BUTTE, MT 59701-9074
(406) 496-6314
(406) 494-1724
Mailing address
PO BOX 382, EAST GLACIER, MT 59434-0382
(406) 338-2725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
951
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477745370
—
MT
Enumeration date
12/28/2010
Last updated
12/28/2010
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