Provider Information for 1194249235
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JENNIFER VAILE LCSW
Sex: Female
NPI: 1194249235
Last Updated: 2024-03-20
Certification Date: 2024-03-20
Certification Date: 2024-03-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194249235 | ||||||||
| Enumeration Date | 2017-07-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 114 FRENCHTOWN, MT 59834-0114 United States Phone: 406-241-6564 | Fax: | ||||||||
| Primary Practice Address | 16840 BECKWITH ST STE 11 FRENCHTOWN, MT 59834-9650 United States Phone: 406-241-6564 | Fax: | ||||||||
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