Individual
GLENN BLUMENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
111 N HIGGINS AVE, STE 409, MISSOULA, MT 59802-4433
(406) 728-2539
(406) 329-5663
Mailing address
603 S 3RD ST W APT 2, MISSOULA, MT 59801-2538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-23420
MT
Other
Enumeration date
11/19/2017
Last updated
04/16/2018
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