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NPI Code Detail

MEDICARE: ABREI ANELLA CLOUD LCSW

MEDICARE:   ABREI ANELLA CLOUD  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 Worker11839MT

General Provider Information

NPI Number : 1679952873
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABREI ANELLA CLOUD LCSW
Provider Business Mailing Address
First Line : PO BOX 7144
Second Line :
City : MISSOULA
State : MT
Zip : 59807-7144
Country : US
Telephone Number : 406-239-1753
Fax Number :
Provider Business Practice Location Address
First Line : 235 N 1ST ST W
Second Line :
City : MISSOULA
State : MT
Zip : 59802-3661
Country : US
Telephone Number : 406-239-1753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2015
Last Update Date : 05/21/2015

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Directions to “ ABREI ANELLA CLOUD LCSW” Practice Location

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