TIMOTHY MARK RADLE

MISSOULA, MT
NPI1205011020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MT  1347)
Enumeration Date2007-12-31
Last Update Date2007-12-31
Business Address
TIMOTHY MARK RADLE L.C.P.C.
1515 E. BROADWAY
MISSOULA, MT 59802-4929
Phone number: 406-728-5353
Mailing Address
TIMOTHY MARK RADLE L.C.P.C.
1515 E. BROADWAY
MISSOULA, MT 59802-4929
Phone number: 406-728-5353
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