EDNA STARR

MISSOULA, MT
NPI1033512496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  LAC-LAC-TMP-4114)
Enumeration Date2014-09-30
Last Update Date2014-09-30
Business Address
-- EDNA STARR LACE
2798 MERIWETHER ST
MISSOULA, MT 59803-2934
Phone number: 406-544-0432
Mailing Address
-- EDNA STARR LACE
2798 MERIWETHER ST
MISSOULA, MT 59803-2934
Phone number: 406-544-0432
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