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General NPI Number Information
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NPI Number | 1790339638
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Entity Type | Organization
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Legal Business Name | KIMBERLY MCDONALD-MARKUSON LCSW
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 2825 STOCKYARD RD STE F4
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City | MISSOULA
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State | MT
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Zip | 59808-1508
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Country | US
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Telephone | 406-544-4055
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Fax | 406-258-0150
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Provider Business Mailing Address
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Address Line | P.O. BOX 5605
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City | MISSOULA
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State | MT
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Zip | 59806
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Country | US
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Telephone | 406-544-4055
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Fax | 406-258-0150
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. KIMBERLY RAE MCDONALD-MARKUSON
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Credential | LCSW
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Telephone | 406-544-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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