LOWELL OWEN WAVRICK

MISSOULA, MT
NPI1508380569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  BBH-LAC-LIC-24926)
Enumeration Date2017-08-01
Last Update Date2022-07-21
Business Address
LOWELL OWEN WAVRICK LAC
4998 SONOMA ST
MISSOULA, MT 59808-8694
Phone number: 406-945-1730
Mailing Address
LOWELL OWEN WAVRICK LAC
4998 SONOMA ST
MISSOULA, MT 59808-8694
Phone number: 406-945-1730
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