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1790824050
MARY GRACE BLACK
HELENA, MT
NPI
1790824050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT 31)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mrs. MARY GRACE BLACK LCSW
48 MEDICAL PARK DR
HELENA, MT 59601-4925
Phone number: 406-449-3880
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Mailing Address
Mrs. MARY GRACE BLACK LCSW
48 MEDICAL PARK DR
HELENA, MT 59601-4925
Phone number: 406-449-3880
Copy
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