LISA RAE BIRNBAUM

MISSOULA, MT
NPI1487316956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: MT  72601)
Enumeration Date2021-10-12
Last Update Date2021-10-12
Business Address
Ms. LISA RAE BIRNBAUM Ed.S
325 E CENTRAL AVE
MISSOULA, MT 59801-6914
Phone number: 406-370-1771
Mailing Address
Ms. LISA RAE BIRNBAUM Ed.S
325 E CENTRAL AVE
MISSOULA, MT 59801-6914
Phone number: 406-370-1771
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