Amanda Jane Fahlstrom, LCSW

NPI #1962061887 in Bozeman, Montana

Provider Information

NPI Number: 1962061887
Entity Type: Individual
Name: Amanda Jane Fahlstrom, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 13, 2019
Last Updated: Oct 6, 2021

Practice Location

Address: 145 MILL TOWN LOOP STE B
City: Bozeman
State: Montana
ZIP Code: 59718-5144
Phone: (406) 219-1350

Specialties & Taxonomy Codes

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

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