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1225798440
DEIDRE MAE PROSS
MISSOULA, MT
NPI
1225798440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
Mrs. DEIDRE MAE PROSS
3815 S 7TH ST W
MISSOULA, MT 59804-1915
Phone number: 406-543-1912
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Mailing Address
Mrs. DEIDRE MAE PROSS
3815 S 7TH ST W
MISSOULA, MT 59804-1915
Phone number: 406-543-1912
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