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1427734102
SANDRA STACEY JESSUP LYONS
BOZEMAN, MT
NPI
1427734102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 57706)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
SANDRA STACEY JESSUP LYONS MSW, LAC
2310 N 7TH AVE
BOZEMAN, MT 59715-2550
Phone number: 406-586-5493
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Mailing Address
SANDRA STACEY JESSUP LYONS MSW, LAC
147 TALON WAY UNIT A
BOZEMAN, MT 59718-9626
Phone number: 406-599-4157
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