Provider Demographics
NPI:1154349892
Name:CURLEE, WILSON VAUGHN (MSW)
Entity type:Individual
Prefix:MR
First Name:WILSON
Middle Name:VAUGHN
Last Name:CURLEE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 6336
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-6336
Mailing Address - Country:US
Mailing Address - Phone:406-449-8486
Mailing Address - Fax:406-449-8486
Practice Address - Street 1:714 CEDAR STREET
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59604
Practice Address - Country:US
Practice Address - Phone:406-449-8486
Practice Address - Fax:406-449-8486
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT42104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0500331Medicaid