DONNA BLACK DOG

POPLAR, MT
NPI1376080234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MT  LAC-LAC-LIC-1393)
Enumeration Date2017-01-30
Last Update Date2017-01-30
Business Address
DONNA BLACK DOG
603 1/2 COURT AVE.
POPLAR, MT 59255
Phone number: 406-768-5364
Mailing Address
DONNA BLACK DOG
603 1/2 COURT AVENUE
POPLAR, MT 59255
Phone number: 406-768-5364
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