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NPI Code Detail

MEDICARE: MARY MICHELLE MORGAN LCSW

MEDICARE: MARY MICHELLE MORGAN 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
11041C0700XClinical Social Worker1026MT

General Provider Information

NPI Number : 1164565925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MICHELLE MORGAN LCSW
Provider Business Mailing Address
First Line : 1121 W PORPHYRY ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-2127
Country : US
Telephone Number : 406-565-8666
Fax Number :
Provider Business Practice Location Address
First Line : 81 W PARK ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1713
Country : US
Telephone Number : 406-497-9047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 11/28/2016

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Directions to “ MARY MICHELLE MORGAN LCSW” Practice Location

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