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Individual

MRS. MARY LOUISE MEIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
236 MAIN ST, 2ND FLOOR, SHELBY, MT 59474-1910
(406) 434-5276
(406) 424-2714
Mailing address
PO BOX 573, SHELBY, MT 59474-0573
(406) 434-5276
(406) 424-2714

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
196
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000500055
MT
05
0000502996
MT
05
0000503048
MT
05
0000503113
MT
01
71180
BC/BS
MT
01
800004269
RAILROAD MEDICARE
MT
01
LCSW#196
SOCIAL WORK LICENSE
MT
Enumeration date
02/13/2006
Last updated
11/16/2009
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