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1649724105
MELANIE MELLGREN-SIDMORE
KALISPELL, MT
NPI
1649724105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT LAC 4184)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
-- MELANIE MELLGREN-SIDMORE LAC 4184
307 1ST AVE E STE 214
KALISPELL, MT 59901-4978
Phone number: 406-261-5005
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Mailing Address
-- MELANIE MELLGREN-SIDMORE LAC 4184
307 1ST AVE E STE 214
KALISPELL, MT 59901-4978
Phone number: 406-261-5005
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