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1063715985
JACQUELINE K ISALY
LIVINGSTON, MT
NPI
1063715985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1307)
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
-- JACQUELINE K ISALY LAC
430 E PARK
LIVINGSTON, MT 59047
Phone number: 406-222-2812
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Mailing Address
-- JACQUELINE K ISALY LAC
PO BOX 533
LIVINGSTON, MT 59047
Phone number: 406-222-2812
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