Individual
MARY ELIZABETH ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 N HIGGINS AVE STE 12, MISSOULA, MT 59802-4445
(406) 207-7467
Mailing address
321 SPEEDWAY AVE, MISSOULA, MT 59802-5474
(406) 207-7467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBHLCSWLIC36937
MT
1041C0700X
Clinical Social Worker
—
MT
Other
Enumeration date
01/16/2019
Last updated
04/19/2024
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