| Shalom Franchont Waltenbaugh | |
|
527 Lake Elmo Dr Billings MT 59105-3051 | |
| (406) 208-4289 | |
| Not Available |
| Full Name | Shalom Franchont Waltenbaugh |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 527 Lake Elmo Dr, Billings, Montana |
| Authorized Official Name and Position | Shalom Franchont Waltenbaugh (OWNER) |
| Authorized Official Contact | 4062084289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Franchont Waltenbaugh 916 Dorothy Lane Billings MT 59105 Ph: (406) 208-4289 | Shalom Franchont Waltenbaugh 527 Lake Elmo Dr Billings MT 59105-3051 Ph: (406) 208-4289 |
| NPI Number | 1629680194 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629680194 | NPI | - | NPPES |
| 1518449222 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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