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1346654779
KIM MARIE DAVIS
HELENA, MT
NPI
1346654779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1426)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
-- KIM MARIE DAVIS LAC
60 SOUTH LAST CHANCE GULCH
HELENA, MT 59624-1153
Phone number: 406-443-2343
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Mailing Address
-- KIM MARIE DAVIS LAC
PO BOX 1153
HELENA, MT 59624-1153
Phone number: 406-443-2343
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