Individual
KAYLA SUPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1515 W BELL ST, GLENDIVE, MT 59330-3240
(406) 815-5831
Mailing address
1515 W BELL ST, GLENDIVE, MT 59330-3240
(406) 815-5831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-87883
MT
Other
Enumeration date
02/26/2026
Last updated
03/12/2026
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