TARESA SPADE, LCSW

Social Worker - Clinical

Active Individual
NPI: 1063031557

Practice Address

613 DIXON AVE
Missoula, MT 59801

Phone: (808) 359-4730

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No LCSW-4493 (HI)

Frequently Asked Questions

NPI 1063031557 is the National Provider Identifier for TARESA SPADE, LCSW, a Social Worker - Clinical provider located in Missoula, MT. This NPI was enumerated on April 14, 2020.
TARESA SPADE, LCSW practices at 613 DIXON AVE, Missoula, MT 59801.

Quick Facts

NPI
1063031557
Type
Individual
Enumerated
Apr 14, 2020
Last Updated
Apr 14, 2020

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