Doctor Name: | MICHAEL STEMBORSKI |
NPI Number: | 1194762401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 386 LCSW |
Business Practice Address: | 7325 Us Highway 93 Suite A Lakeside, MT - 599229704 |
Business Phone Number: | 4068442890 |
Business Fax Number: | 4068442891 |
Mailing Address: | 202 Conway Dr, Suite 100 KALISPELL |
State: | MT |
Postal Code: | 599013112 |
Phone Number: | 4067515664 |
Fax Number: | 4067550971 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 386 LCSW |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |