Individual
KATRENA MICHELLE HEAGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
81 W PARK ST, BUTTE, MT 59701-1713
(406) 497-9000
(406) 723-7117
Mailing address
1321 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-8400
(406) 224-4402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-42627
MT
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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