Individual
LANA MARIE DICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 SPRUCE ST, THOMPSON FALLS, MT 59873-9426
(406) 529-4179
Mailing address
PO BOX 1571, PLAINS, MT 59859-1571
(406) 529-4179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-25388
MT
Other
Enumeration date
09/28/2017
Last updated
10/11/2017
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