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1619986056
COLTON BRAGG HACKLEY
KALISPELL, MT
NPI
1619986056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MT 1265)
Enumeration Date
2006-08-05
Last Update Date
2007-07-09
Business Address
COLTON BRAGG HACKLEY LCPC
20 3RD ST E
KALISPELL, MT 59901-4573
Phone number: 406-755-9471
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Mailing Address
COLTON BRAGG HACKLEY LCPC
1930 TEAL DR
KALISPELL, MT 59901-7583
Phone number: 406-755-1079
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