Individual
JILL DIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1507 1ST AVE W STE E, KALISPELL, MT 59901-5769
(406) 253-1807
Mailing address
PO BOX 3206, KALISPELL, MT 59903-3206
(406) 253-1807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
42769
MT
Other
Enumeration date
09/19/2020
Last updated
09/21/2022
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