Individual
MS. LISA KOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
51549 PIEDALUE RD, CHARLO, MT 59824-9393
(406) 644-3600
Mailing address
54447 MT HWY 212, CHARLO, MT 59824
(406) 644-2388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2369
MT
Other
Enumeration date
08/27/2012
Last updated
09/22/2012
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