Individual
MRS. JENI E LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 HANGING WALL ROAD, BOULDER, MT 59632
(406) 439-6786
Mailing address
PO BOX 666, BOULDER, MT 59632-0666
(406) 439-6786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
522LCSW
MT
Other
Enumeration date
04/04/2007
Last updated
11/22/2017
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