MEDICARE: TRUDI PAULSON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	8884	MT

General Provider Information

NPI Number	:	1922507946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRUDI PAULSON LCSW

Provider Business Mailing Address
First Line	:	2429 MISSION WAY
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-0161
Country	:	US
Telephone Number	:	406-655-5425
Fax Number	:	406-655-7729

Provider Business Practice Location Address
First Line	:	2429 MISSION WAY
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-0161
Country	:	US
Telephone Number	:	406-655-5425
Fax Number	:	406-655-7729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	02/05/2018

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Directions to “ TRUDI PAULSON LCSW” Practice Location

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