Individual
MR. JOHN CRAIG LILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
111 N HIGGINS AVE, STE 422, MISSOULA, MT 59802-4437
(406) 529-2619
(406) 258-0491
Mailing address
PO BOX 7363, MISSOULA, MT 59807-7363
(406) 529-2619
(406) 258-0491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
921
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881908028
—
MT
Enumeration date
07/29/2010
Last updated
07/23/2016
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