Individual
AMY LICHTENSTEIN KEEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2050 FAIRWAY DR, BOZEMAN, MT 59715-5871
(406) 581-9855
(406) 587-9422
Mailing address
1202 S PINECREST DR, BOZEMAN, MT 59715-5943
(406) 581-9855
(406) 587-9422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-509
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503625
—
MT
Enumeration date
01/04/2007
Last updated
07/08/2007
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