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1003545518
MARY SANDOVAL
ANACONDA, MT
NPI
1003545518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MT BBH-LCPC-LIC-53516)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
MARY SANDOVAL LCPC
200 POLK ST
ANACONDA, MT 59711-9611
Phone number: 406-691-2075
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Mailing Address
MARY SANDOVAL LCPC
200 POLK ST
ANACONDA, MT 59711-9611
Phone number: 406-691-2075
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