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1003657131
STACEY DE WITT LCPC LLC (STACEY M DE WITT SOLE MBR)
MISSOULA, MT
NPI
1003657131
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Entity Type
Organization
Authorized Contact
STACEY M DE WITT
Owner/Therapist
406-529-5121
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
STACEY DE WITT LCPC LLC (STACEY M DE WITT SOLE MBR)
725 W ALDER ST STE 10
MISSOULA, MT 59802-4099
Phone number: 406-529-5121
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Mailing Address
STACEY DE WITT LCPC LLC (STACEY M DE WITT SOLE MBR)
PO BOX 134
LOLO, MT 59847-0134
Phone number: 406-529-5121
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