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1144338955
SHAEN MCELRAVY
MISSOULA, MT
NPI
1144338955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 821)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mr. SHAEN MCELRAVY MSW, LAC
1325 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9810
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Mailing Address
Mr. SHAEN MCELRAVY MSW, LAC
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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