Individual
MS. SALLY J CAMERON- RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
286 5TH AVENUE EAST NORTH, KALISPELL, MT 59901-4119
(406) 257-6382
Mailing address
286 5TH AVENUE EAST NORTH, KALISPELL, MT 59901-4119
(406) 257-6382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
241
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503347
—
MT
01
—
71271
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/04/2006
Last updated
07/08/2007
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