Individual
OLIVIA MORICCA GOSVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW - CANDIDATE
Contact information
Practice address
1211 ECHELON PL STE A, HELENA, MT 59602-7693
(559) 593-3223
Mailing address
2865 JEANNETTE RANKIN DR, HELENA, MT 59601-5817
(559) 593-3223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SLC-LIC-70281
MT
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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