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1578646600
MARK BAKER WASHBURN
MISSOULA, MT
NPI
1578646600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MT 806)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
Mr. MARK BAKER WASHBURN LCPC
1305 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9770
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Mailing Address
Mr. MARK BAKER WASHBURN LCPC
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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