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1093423121
RAYLENE VASSAU
MISSOULA, MT
NPI
1093423121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MT BBH-ACLC-LIC-56837)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
RAYLENE VASSAU ACLC
202 BROOKS ST
MISSOULA, MT 59801-4019
Phone number: 406-926-1453
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Mailing Address
RAYLENE VASSAU ACLC
202 BROOKS ST FL 3
MISSOULA, MT 59801-4019
Phone number: 406-207-9411
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