Individual
CORAL BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 SOUTH AVE W, SUITE F, MISSOULA, MT 59801-8000
(406) 240-1809
Mailing address
PO BOX 363, LOLO, MT 59847-0363
(406) 240-1809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-8588
MT
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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