Elizabeth Angwin Lcsw Llc | |
750 Laurel Ranch Rd Bozeman MT 59715-8221 | |
(406) 548-7198 | |
Not Available |
Full Name | Elizabeth Angwin Lcsw Llc |
---|---|
Speciality | Social Worker |
Location | 750 Laurel Ranch Rd, Bozeman, Montana |
Authorized Official Name and Position | Elizabeth B Angwin (PRESIDENT) |
Authorized Official Contact | 4065487198 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elizabeth Angwin Lcsw Llc 750 Laurel Ranch Rd Bozeman MT 59715-8221 Ph: (406) 548-7198 | Elizabeth Angwin Lcsw Llc 750 Laurel Ranch Rd Bozeman MT 59715-8221 Ph: (406) 548-7198 |
NPI Number | 1376197087 |
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Provider Enumeration Date | 07/31/2019 |
Last Update Date | 07/31/2019 |
Medicare PECOS PAC ID | 2860825262 |
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Medicare Enrollment ID | O20191125001744 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376197087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth B Angwin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982099677 PECOS PAC ID: 5890013981 Enrollment ID: I20150422000894 |
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