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Individual

EMILY MARSHALL MICHALIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
289 MONTANA LANDING, POLSON, MT 59860-5986
(312) 813-1662
Mailing address
PO BOX 853, POLSON, MT 59860-0853
(312) 813-1662

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
NONE
Enumeration date
04/20/2020
Last updated
04/20/2020
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