Individual
MS. MICHELLE MIRANDA PUERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
125 W GRANITE ST, BUTTE, MT 59701-9215
(406) 570-9880
Mailing address
125 W GRANITE ST, BUTTE, MT 59701-9215
(406) 570-9880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-4610
MT
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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