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1417639352
LOGAN M SHRADER
BELGRADE, MT
NPI
1417639352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MT BBH-LCSW-LIC-64380)
Enumeration Date
2023-08-01
Last Update Date
2023-09-14
Business Address
LOGAN M SHRADER LCSW
410 TRIPLE CROWN ST
BELGRADE, MT 59714-3402
Phone number: 406-388-1309
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Mailing Address
LOGAN M SHRADER LCSW
410 TRIPLE CROWN ST
BELGRADE, MT 59714-3402
Phone number: 406-388-1309
Copy
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