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Organization

WADING WATERS THERAPY LLC

Active
Other names
Wading Waters Therapy LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DESTINY DAWN DEVINE MSW, LCSW (CLINICAL SOCIAL WORKER)
(406) 750-1150
Entity
Organization

Contact information

Practice address
114 W PINE ST STE 8, MISSOULA, MT 59802-4222
(406) 743-3473
(406) 821-7755
Mailing address
2424 BELT BUCKLE WAY, MISSOULA, MT 59808-9537
(406) 750-1150

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/19/2023
Last updated
05/19/2025
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