Individual
MICHAEL JON DAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
81 W. PARK ST., BUTTE, MT 59701
(406) 497-9000
Mailing address
81 W. PARK ST., BUTTE, MT 59701
(406) 497-9000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-12261
MT
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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