MEDICARE: MRS. ELIZABETH CHRISTINE SEAU MSW, 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	BHH-LCSW-LIC-29706	MT

General Provider Information

NPI Number	:	1710433446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH CHRISTINE SEAU MSW, LCSW

Provider Business Mailing Address
First Line	:	600 CENTRAL AVE STE 407
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3143
Country	:	US
Telephone Number	:	505-977-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 CENTRAL AVE STE 407
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3143
Country	:	US
Telephone Number	:	505-977-6585
Fax Number	:

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

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	02/23/2018

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