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1447888557
BRYANN LEA BAUSCH
MISSOULA, MT
NPI
1447888557
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Former Name
BRYANN STILLWAGON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-41743)
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
BRYANN LEA BAUSCH LCSW
2827 FORT MISSOULA RD
MISSOULA, MT 59804-7408
Phone number: 406-327-4558
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Mailing Address
BRYANN LEA BAUSCH LCSW
2827 FORT MISSOULA RD
MISSOULA, MT 59804-7408
Phone number: 406-327-4558
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