Organization
LISA TALCOTT LLC
Active
Other names
Lisa Talcott
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TALCOTT LCSW (CEO)
(406) 224-1455
Entity
Organization
Contact information
Practice address
319 N MAIN ST, LIVINGSTON, MT 59047-2016
(406) 224-1455
Mailing address
410 S. 11TH ST, LIVINGSTON, MT 59047
(406) 224-1455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW708
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0558790
—
MT
Enumeration date
07/05/2018
Last updated
07/07/2021
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