Individual
MS. MICHELLE ANTOINETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 FORT MISSOULA, MISSOULA, MT 59804-7211
(406) 550-1212
(406) 728-6065
Mailing address
30 FORT MISSOULA, MISSOULA, MT 59804-7211
(406) 550-1212
(406) 728-6065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1012
MT
Other
Enumeration date
06/21/2011
Last updated
07/08/2011
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