Individual
AMBROSIA ISELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACLC
Contact information
Practice address
725 W ALDER ST STE 22, MISSOULA, MT 59802-4026
(406) 750-6899
Mailing address
725 W ALDER ST STE 22, MISSOULA, MT 59802-4026
(406) 750-6899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-62233
MT
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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