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Contact Information

HEIDI M MATLACK, LCSW, LAC
465 E GALENA ST STE B
BUTTE, MT59701-1931
 Phone: 406-782-0008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for HEIDI M MATLACK · (Female)

NPI Number 1588695860
Status Active
Credentials LCSW, LAC
Entity Individual
Enumeration date 07/05/2006
Last updated 03/05/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MT Medicaid 1041C0700X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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