Organization
TIA UTZINGER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIA EBBA UTZINGER L.C.S.W. (THERAPIST)
(406) 579-9011
Entity
Organization
Contact information
Practice address
501 E PEACH ST, BOZEMAN, MT 59715-3000
(406) 579-9011
Mailing address
PO BOX 6087, BOZEMAN, MT 59771-6087
(406) 579-9011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
555LCSW
MT
Other
Enumeration date
04/29/2015
Last updated
10/26/2020
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