Individual
CODY ELIZABETH PORTWINE-KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-1687
(406) 234-1698
Mailing address
PO BOX 1530, MILES CITY, MT 59301-1530
(406) 234-1687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2382
MT
1041C0700X
Clinical Social Worker
768
WY
Other
Enumeration date
06/19/2008
Last updated
10/04/2012
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