MS. Lisa Koble, LCSW

NPI #1871841767 in Charlo, Montana

Provider Information

NPI Number: 1871841767
Entity Type: Individual
Name: MS. Lisa Koble, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 27, 2012
Last Updated: Sep 22, 2012

Practice Location

Address: 51549 PIEDALUE RD
City: Charlo
State: Montana
ZIP Code: 59824-9393
Phone: (406) 644-3600

Specialties & Taxonomy Codes

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

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