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1811642010
JOHANNA CRISTOL LAWRENCE
MISSOULA, MT
NPI
1811642010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-55228)
Enumeration Date
2022-02-16
Last Update Date
2022-02-28
Business Address
JOHANNA CRISTOL LAWRENCE LCSW
601 W SPRUCE ST STE A
MISSOULA, MT 59802-4047
Phone number: 406-728-3111
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Mailing Address
JOHANNA CRISTOL LAWRENCE LCSW
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-728-3111
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