Individual
SYDNEY P BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
228 17TH AVE NW, CENTER FOR MENTAL HEALTH/CMR HIGH SCHOOL, GREAT FALLS, MT 59404-1807
(406) 268-6126
Mailing address
5301 FOX FARM RD, GREAT FALLS, MT 59404-6411
(406) 761-4995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
389 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000071295
BLUE CROSS/SHIELD OF MONT
MT
Enumeration date
02/14/2006
Last updated
07/08/2007
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