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1356552160
MARY JANE DEBERRY
BOX ELDER, MT
NPI
1356552160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1191LAC)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Ms. MARY JANE DEBERRY LAC
RURAL ROUTE 1 BOX 664
BOX ELDER, MT 59521-0000
Phone number: 406-395-4837
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Mailing Address
Ms. MARY JANE DEBERRY LAC
RURAL ROUTE 1 BOX 733
BOX ELDER, MT 59521-0000
Phone number: 406-945-5505
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