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Individual

MATTHEW T. RADLOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LAC

Contact information

Practice address
1325 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9800
(406) 541-3032
Mailing address
BUILDING T9 FORT MISSOULA, MISSOULA, MT 59804-7298
(406) 532-8400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1344
MT
1041C0700X
Clinical Social Worker
2280
MT

Other

Enumeration date
04/07/2010
Last updated
07/20/2014
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