Renee Roulliermadrigal, LCSW

NPI #1689703472 in Ronan, Montana

Provider Information

NPI Number: 1689703472
Entity Type: Individual
Name: Renee Roulliermadrigal, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 32009 TERRACE LAKE RD
City: Ronan
State: Montana
ZIP Code: 59864-9884
Phone: (406) 676-3171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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