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1598848608
BRUCE ARNOLD HIETALA
MISSOULA, MT
NPI
1598848608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT 593)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
Mr. BRUCE ARNOLD HIETALA LCSW
1305 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9770
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Mailing Address
Mr. BRUCE ARNOLD HIETALA LCSW
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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