Joseph Boland | |
1604 Central Ave Great Falls MT 59401-3838 | |
(406) 866-0981 | |
Not Available |
Full Name | Joseph Boland |
---|---|
Speciality | Social Worker - Clinical |
Location | 1604 Central Ave, Great Falls, Montana |
Authorized Official Name and Position | Joseph Boland (THERAPIST) |
Authorized Official Contact | 4068660981 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joseph Boland 1604 Central Ave Great Falls MT 59401-3838 Ph: () - | Joseph Boland 1604 Central Ave Great Falls MT 59401-3838 Ph: (406) 866-0981 |
NPI Number | 1558692350 |
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Provider Enumeration Date | 01/19/2010 |
Last Update Date | 01/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558692350 | NPI | - | NPPES |
500-191 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 415 (Montana) | Primary |
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