TIMOTHY LESLIE DALLACQUA

GREAT FALLS, MT
NPI1467710442
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MT  895)
Enumeration Date2012-04-27
Last Update Date2023-03-31
Business Address
Mr. TIMOTHY LESLIE DALLACQUA LCSW
600 CENTRAL AVE SUITE 305
GREAT FALLS, MT 59401-3179
Phone number: 406-868-8017
Mailing Address
Mr. TIMOTHY LESLIE DALLACQUA LCSW
600 CENTRAL AVE SUITE 305
GREAT FALLS, MT 59401-3179
Phone number: 406-868-8017