Provider Demographics
NPI:1053116202
Name:HARLOW, KATHRYN REBECCA (SWLC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:REBECCA
Last Name:HARLOW
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 EDWARD AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-5005
Mailing Address - Country:US
Mailing Address - Phone:406-396-4078
Mailing Address - Fax:
Practice Address - Street 1:5305 FARM LN
Practice Address - Street 2:
Practice Address - City:LOLO
Practice Address - State:MT
Practice Address - Zip Code:59847-9600
Practice Address - Country:US
Practice Address - Phone:406-273-6686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical