Kickin It Enterprises

NPI #1841749249 in Polson, Montana

Provider Information

NPI Number
1841749249
Entity Type
Organization
Organization Name
Kickin It Enterprises
Primary Specialty
Social Worker - Clinical
Enumeration Date
Sep 26, 2016
Last Updated
Sep 26, 2016

Practice Location

Address
1201 MAIN ST
Address 2
B
City
Polson
State
Montana
ZIP Code
59860-5328
Phone
(406) 883-1718

Authorized Official

Name
GINA L. DALRYMPLE, LCSW
Title
OWNER/PROVIDER
Phone
(406) 883-1718

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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