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1720519655
MATTHEW LEAVENWORTH
BILLINGS, MT
NPI
1720519655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MT BBH-LCPC-LIC-23436)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- MATTHEW LEAVENWORTH
208 N BROADWAY STE 423
BILLINGS, MT 59101-1943
Phone number: 406-896-8427
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Mailing Address
-- MATTHEW LEAVENWORTH
208 N BROADWAY STE 423
BILLINGS, MT 59101-1943
Phone number: 406-896-8427
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