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Individual

TOM GUTSCHENRITTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
307 1ST AVE E STE 5, KALISPELL, MT 59901-4965
(406) 781-8581
Mailing address
307 1ST AVE E STE 5, KALISPELL, MT 59901-4965
(406) 781-8581

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8615
MT
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-8615
MT

Other

Enumeration date
10/14/2014
Last updated
02/10/2022
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