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1316190317
STACEY M. DEWITT
MISSOULA, MT
NPI
1316190317
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Former Name
STACEY M. PENTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MT 1385)
Enumeration Date
2008-11-04
Last Update Date
2008-11-04
Business Address
Mrs. STACEY M. DEWITT MA, LCPC
1305 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9770
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Mailing Address
Mrs. STACEY M. DEWITT MA, LCPC
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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