Individual
MARIAH RENE MCMANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2504 W MAIN ST STE 2F, BOZEMAN, MT 59718-3966
(406) 595-3822
Mailing address
2504 W MAIN ST STE 2C, BOZEMAN, MT 59718-4073
(406) 595-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
24106
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-64284
MT
1041C0700X
Clinical Social Worker
BBH-SWLC-LIC-24106
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/25/2018
Last updated
07/27/2023
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