Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 789 | MT |
NPI | 1003007154 |
---|---|
Provider Name | Mrs. Heather Mae Cashell |
First Address | Hamilton, MT 59840-9619 |
Second Address | Hamilton, MT 59840-2561 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 21/10/2019 |