Individual
MS. ROSALIE BIRDWOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EAGLE FEATHER ST., LAME DEER, MONTANA, LAME DEER,, MT 59043
(406) 477-4916
Mailing address
100 EAGLE FEATHER STREET, LAME DEER, MT 59043
(406) 477-4916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
494
MT
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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