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1063813152
KATHLEEN LITTLE LEAF
MISSOULA, MT
NPI
1063813152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1199)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
-- KATHLEEN LITTLE LEAF
830 W CENTRAL AVE
MISSOULA, MT 59801-7931
Phone number: 406-829-9515
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Mailing Address
-- KATHLEEN LITTLE LEAF
830 W CENTRAL AVE
MISSOULA, MT 59801-7931
Phone number: 406-829-9515
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