Individual
KELLY MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5237 US HIGHWAY 89 S STE 1, LIVINGSTON, MT 59047-9176
(406) 221-2209
Mailing address
13224 N 36TH ST, PHOENIX, AZ 85032-6172
(480) 310-0531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62564
MT
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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