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1558016733
SERENE CUSACK
MISSOULA, MT
NPI
1558016733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-53910)
Enumeration Date
2022-02-16
Last Update Date
2024-01-11
Business Address
SERENE CUSACK LCSW
900 N ORANGE ST STE 202
MISSOULA, MT 59802-2951
Phone number: 406-327-3362
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Mailing Address
SERENE CUSACK LCSW
PO BOX 3964
MISSOULA, MT 59806-3964
Phone number: 406-481-4898
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