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1710309778
SANDRA DISTAD
BILLINGS, MT
NPI
1710309778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT LAC-LAC-LIC-4178)
Enumeration Date
2014-01-10
Last Update Date
2014-10-22
Business Address
Ms. SANDRA DISTAD
1231 N 29TH ST
BILLINGS, MT 59101-0122
Phone number: 406-869-6867
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Mailing Address
Ms. SANDRA DISTAD
1231 N 29TH ST
BILLINGS, MT 59101-0122
Phone number: 406-869-6867
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