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1629784764
BURCH MICHAEL BOWEN
KALISPELL, MT
NPI
1629784764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MT BBH-LAC-PRV-62259)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
BURCH MICHAEL BOWEN LAC
2282 US HIGHWAY 93 S
KALISPELL, MT 59901-8499
Phone number: 406-885-8851
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Mailing Address
BURCH MICHAEL BOWEN LAC
214 SPRUCE RD APT 11
KALISPELL, MT 59901-3393
Phone number: 406-250-1655
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