Individual
GINA DALRYMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 MAIN ST, SUITE B, POLSON, MT 59860-5328
(406) 883-1718
(406) 204-1207
Mailing address
1201 MAIN ST, SUITE B, POLSON, MT 59860-5328
(406) 883-1718
(406) 204-1207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2397
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770377
—
MT
Enumeration date
02/12/2013
Last updated
04/28/2021
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