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1285177410
MICHAEL MARVIN THOMAS CRADDOCK
ANACONDA, MT
NPI
1285177410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MT BBH-LCPC-LIC-19613)
Enumeration Date
2016-11-20
Last Update Date
2016-11-29
Business Address
-- MICHAEL MARVIN THOMAS CRADDOCK M.Ed
5 N LESLIE ST
ANACONDA, MT 59711-9304
Phone number: 406-565-3094
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Mailing Address
-- MICHAEL MARVIN THOMAS CRADDOCK M.Ed
5 N LESLIE ST
ANACONDA, MT 59711-9304
Phone number: 406-565-3094
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