ADAM BOOMER

MISSOULA, MT
NPI1194485607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MT  BBh-SWLC-LIC-53919)
Enumeration Date2021-12-23
Last Update Date2021-12-23
Business Address
ADAM BOOMER
2750 TERRACE DR
MISSOULA, MT 59803-9732
Phone number: 406-830-5095
Mailing Address
ADAM BOOMER
2750 TERRACE DR
MISSOULA, MT 59803-9732
Phone number:
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