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NPI Code Detail

MEDICARE: REBECCA JENEE KALLEM SWLC

MEDICARE:   REBECCA JENEE KALLEM  SWLC
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 Worker81717MT

General Provider Information

NPI Number : 1851092738
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JENEE KALLEM SWLC
Provider Business Mailing Address
First Line : 327 MAIN ST
Second Line :
City : VICTOR
State : MT
Zip : 59875-9469
Country : US
Telephone Number : 406-546-4782
Fax Number :
Provider Business Practice Location Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 406-541-0032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2023
Last Update Date : 02/03/2026

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Directions to “ REBECCA JENEE KALLEM SWLC” Practice Location

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