Elkhorn Professional Services | |
101 E Broadway St Ste 405 Missoula MT 59802-4510 | |
(406) 531-0702 | |
Not Available |
Full Name | Elkhorn Professional Services |
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Speciality | Social Worker - Clinical |
Location | 101 E Broadway St Ste 405, Missoula, Montana |
Authorized Official Name and Position | Forest Henning (THERAPIST) |
Authorized Official Contact | 4065310702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elkhorn Professional Services Po Box 4821 Missoula MT 59806-4821 Ph: (406) 531-0702 | Elkhorn Professional Services 101 E Broadway St Ste 405 Missoula MT 59802-4510 Ph: (406) 531-0702 |
NPI Number | 1760956098 |
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Provider Enumeration Date | 01/21/2019 |
Last Update Date | 01/21/2019 |
Identifier | Type | State | Issuer |
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1760956098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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