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1275830010
LYNDON ROBERT KACICK
LIVINGSTON, MT
NPI
1275830010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1250)
Enumeration Date
2011-02-14
Last Update Date
2011-02-14
Business Address
-- LYNDON ROBERT KACICK LAC
517 S 10TH ST
LIVINGSTON, MT 59047-3710
Phone number: 406-223-3864
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Mailing Address
-- LYNDON ROBERT KACICK LAC
517 S 10TH ST
LIVINGSTON, MT 59047-3710
Phone number: 406-223-3864
Copy
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