MARY GRACE BLACK

HELENA, MT
NPI1790824050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MT  31)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
MRS. MARY GRACE BLACK LCSW
48 MEDICAL PARK DR
HELENA, MT 59601-4925
Phone number: 406-449-3880
Mailing Address
MRS. MARY GRACE BLACK LCSW
48 MEDICAL PARK DR
HELENA, MT 59601-4925
Phone number: 406-449-3880
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