Madison Powers
Social Worker, Clinical in Missoula, MT. Individual provider (NPI-1).
NPI number1154075802
StatusActive
Last updated in NPPESFeb 10, 2022
Details
- NPI
- 1154075802
- Entity type
- Individual (NPI-1)
- Name
- Madison Powers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2022
- Certification date
- Feb 10, 2022
- Last updated
- Feb 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | BBH-SWLC-LIC-54885 | MT | Yes |
Practice location
1120 Cedar StMissoula, MT 59802-3911
Phone 406-541-4673
Mailing address
1120 Cedar StMissoula, MT 59802-3911
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