Taresa Janelle Spade, LCSW | |
613 Dixon Ave, Missoula, MT 59801-8623 | |
(808) 359-4730 | |
Not Available |
Full Name | Taresa Janelle Spade |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 613 Dixon Ave, Missoula, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063031557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-42656 (Montana) | Primary |
1041C0700X | Social Worker - Clinical | LCSW-4493 (Hawaii) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Taresa Janelle Spade, LCSW 613 Dixon Ave, Missoula, MT 59801-8623 Ph: (808) 359-4730 | Taresa Janelle Spade, LCSW 613 Dixon Ave, Missoula, MT 59801-8623 Ph: (808) 359-4730 |
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Mr. Marianne Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1305 Wyoming St, Missoula, MT 59801 Phone: 406-532-9770 Fax: 406-541-3034 | |
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