Female

Mrs. Susan K. Allen LCSW

Clinical Social Worker in Missoula, MT(View on Map)

Full Name

Mrs. Susan Kay Allen LCSW

NPI Number

1215235031

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/02/2011

Specialties

(Taxonomies)

Code

1041C0700X
104100000X

Primary Taxonomy

Yes
No

Licenses

State

Montana

License Number

630

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 353
415 N HIGGINS

City

Missoula
Missoula

State

MT
MT

Postal Code

59806-0353
59802-4559

Country

US
US

Telephone Number

(406) 303-0397
(406) 303-0397

Identifiers

Identifier

M011006202

Identifier State

MT

Identifier Issuer

MEDICARE PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/29/2015

Provider Address

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