Provider Information for 1710604657
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ANN TRUESDELL LCSW
Sex: Female
NPI: 1710604657
Last Updated: 2022-10-21
Certification Date: 2022-10-04
Certification Date: 2022-10-04
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710604657 | ||||||||
| Enumeration Date | 2022-10-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1861 HELENA, MT 59624-1861 United States Phone: 406-980-0198 | Fax: | ||||||||
| Primary Practice Address | 930 N PARK AVE HELENA, MT 59601-3337 United States Phone: 406-980-0198 | Fax: | ||||||||
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