MEDICARE: SARAH M GREBENC

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	104100000X	Social Worker	13866	MN

General Provider Information

NPI Number	:	1871749390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH M GREBENC

Provider Business Mailing Address
First Line	:	909 8TH AVE
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-4412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1892 VETERANS WAY
Second Line	:
City	:	FORT HARRISON
State	:	MT
Zip	:	59636-4412
Country	:	US
Telephone Number	:	406-447-7740
Fax Number	:

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

Provider Enumeration Date	:	08/15/2008
Last Update Date	:	08/15/2008

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Directions to “ SARAH M GREBENC ” Practice Location

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