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1497339493
MARISSA MAE ILAC
POLSON, MT
NPI
1497339493
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Professional Name
MARISSA MAE ILAC
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MT BBH-LCPC-LIC-48659)
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
MARISSA MAE ILAC LCPC
402 1ST ST. E. #205
POLSON, MT 59860
Phone number: 406-260-1716
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Mailing Address
MARISSA MAE ILAC LCPC
PO BOX 731
HOT SPRINGS, MT 59845-0731
Phone number: 406-260-1716
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