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1538379425
TIM SCOTT BALLARD
MISSOULA, MT
NPI
1538379425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MT 1154)
Enumeration Date
2007-05-22
Last Update Date
2007-07-09
Business Address
-- TIM SCOTT BALLARD LCPC
519 S 4TH ST W
MISSOULA, MT 59801-2629
Phone number: 406-240-7924
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Mailing Address
-- TIM SCOTT BALLARD LCPC
519 S 4TH ST W
MISSOULA, MT 59801-2629
Phone number: 406-240-7924
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