Individual
JADE-HEATHER MARANDA HINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
307 N 2ND ST W, MISSOULA, MT 59802-3616
(406) 214-3810
Mailing address
PO BOX 2, POPLAR, MT 59255-0002
(406) 450-2769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-57348
MT
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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