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Individual

DR. MARLENE JEANETTE MOWERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1601 2ND AVENUE NORTH SUITE 338, COLUMBUS CENTER, GREAT FALLS, MT 59401
(406) 750-9959
(406) 761-2107
Mailing address
1601 2ND AVENUE NORTH SUITE 338, COLUMBUS CENTER, GREAT FALLS, MT 59401
(406) 750-9959

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
#322
MT
103TC0700X
Clinical Psychologist
322
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000051741
BLUE CROSS/SHIELD OF MT
MT
01
680015337
RAILROAD MEDICARE
MT
Enumeration date
07/19/2006
Last updated
01/05/2012
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