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1699836296
JEAN D BALLOU
MISSOULA, MT
NPI
1699836296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT 27LCSW)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- JEAN D BALLOU LCSW
210 N HIGGINS AVE STE 314
MISSOULA, MT 59802-4443
Phone number: 406-543-9566
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Mailing Address
-- JEAN D BALLOU LCSW
210 N HIGGINS AVE STE 314
MISSOULA, MT 59802-4443
Phone number: 406-543-9566
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