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1003270810
ANGELA OTTO
KALISPELL, MT
NPI
1003270810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MT 16845)
Enumeration Date
2016-04-07
Last Update Date
2022-12-09
Business Address
ANGELA OTTO LAC
431 1ST AVE W
KALISPELL, MT 59901-4959
Phone number: 406-607-4971
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Mailing Address
ANGELA OTTO LAC
1312 N MERIDIAN RD
KALISPELL, MT 59901-3095
Phone number: 406-257-6240
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