Individual
MISS MARIE MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW.,LCSW
Contact information
Practice address
411 B STREET, DIXON, MT 59808
(406) 246-3566
Mailing address
9277 COVENANT RD, MISSOULA, MT 59808-8015
(406) 544-0599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-23696
MT
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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