CRYSTAL MARIE WAVRICK

MISSOULA, MT
NPI1801300702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MT  BBH-LCSW-LIC-25772)
Enumeration Date2017-11-30
Last Update Date2017-11-30
Business Address
CRYSTAL MARIE WAVRICK
619 SW HIGGINS AVE STE E
MISSOULA, MT 59803-1430
Phone number: 406-728-9672
Mailing Address
CRYSTAL MARIE WAVRICK
4998 SONOMA ST
MISSOULA, MT 59808-8694
Phone number: 406-544-3551
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