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NPI Code Detail

MEDICARE: MARGARET CONARROE BROCK PCLC

MEDICARE: MARGARET CONARROE BROCK PCLC
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
1101YM0800XMental Health CounselorBBH-PCLC-LIC-71134MT

General Provider Information

NPI Number : 1548000375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET CONARROE BROCK PCLC
Provider Business Mailing Address
First Line : 2119 W CENTRAL AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59801-6525
Country : US
Telephone Number : 406-529-9309
Fax Number :
Provider Business Practice Location Address
First Line : 1724 FAIRVIEW AVE STE A
Second Line :
City : MISSOULA
State : MT
Zip : 59801-7873
Country : US
Telephone Number : 406-214-3810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 05/29/2024

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Directions to “ MARGARET CONARROE BROCK PCLC” Practice Location

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