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1518410109
MICHAEL CHARLES CASSIDY
VICTOR, MT
NPI
1518410109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT BBH-LAC-LIC-18797)
Enumeration Date
2016-07-29
Last Update Date
2017-04-03
Business Address
-- MICHAEL CHARLES CASSIDY MA, LAC
330 THIRD AVE
VICTOR, MT 59875-2357
Phone number: 406-241-9849
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Mailing Address
-- MICHAEL CHARLES CASSIDY MA, LAC
330 THIRD AVE
VICTOR, MT 59875-2357
Phone number: 406-241-9849
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