Individual
LAURELLE C WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2415 MULLAN RD, MISSOULA, MT 59808-1827
(406) 549-1050
(406) 549-5215
Mailing address
2415 MULLAN RD, MISSOULA, MT 59808-1827
(406) 549-1050
(406) 549-5215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004048
CT
1041C0700X
Clinical Social Worker
Primary
17572
MT
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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