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1285901108
COLLEEN MARIE MCNULTY
MISSOULA, MT
NPI
1285901108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1412)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
-- COLLEEN MARIE MCNULTY LAC
1325 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9770
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Mailing Address
-- COLLEEN MARIE MCNULTY LAC
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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