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NPI Code Detail

MEDICARE: NANCY THORSON LCSW

MEDICARE:   NANCY  THORSON  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 Worker660MT

General Provider Information

NPI Number : 1740598788
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY THORSON LCSW
Provider Business Mailing Address
First Line : 1008 SAINT JOHNS AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59102-5808
Country : US
Telephone Number : 406-252-1306
Fax Number :
Provider Business Practice Location Address
First Line : 225 N 23RD ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2223
Country : US
Telephone Number : 406-252-1177
Fax Number : 406-252-1176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2010
Last Update Date : 09/23/2010

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Directions to “ NANCY THORSON LCSW” Practice Location

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