Individual
KARIN FODNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
235 N 1ST ST W, STE C, MISSOULA, MT 59802-3661
(406) 721-7690
(406) 541-6567
Mailing address
235 N 1ST ST W, STE C, MISSOULA, MT 59802-3661
(406) 396-2762
(406) 728-5178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
726-LCSW
MT
174400000X
Specialist
Primary
726-LCSW
MT
Other
Enumeration date
12/18/2006
Last updated
09/23/2018
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