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1164937793
SETH MARWA QUACKENBUSH
ST. IGNATIUS, MT
NPI
1164937793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-26007)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
SETH MARWA QUACKENBUSH LCSW
109 1ST AVENUE
ST. IGNATIUS, MT 59865
Phone number: 406-745-3681
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Mailing Address
SETH MARWA QUACKENBUSH LCSW
109 1ST AVE
ST. IGNATIUS, MT 59865
Phone number: 406-745-3681
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