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Individual

RHONDA LEE CHAMPAGNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3595 PINE HILLS DR, HELENA, MT 59602-6411
(406) 459-2021
Mailing address
3595 PINE HILLS DR, HELENA, MT 59602-6411
(406) 459-2021

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000070666
BLUE CROSS-SHIELD OF MONTANA
MT
01
P00692139 C01340
RAILROAD MEDICARE
MT
Enumeration date
03/31/2008
Last updated
04/22/2011
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