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1205113966
JOHN G BREWER
KALISPELL, MT
NPI
1205113966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1243)
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
-- JOHN G BREWER BA, LAC
1312 N MERIDIAN RD
KALISPELL, MT 59901-3095
Phone number: 406-756-6453
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Mailing Address
-- JOHN G BREWER BA, LAC
PO BOX 10512
KALISPELL, MT 59904-3512
Phone number: 406-885-1306
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