LOUELLA KELLY HEAVY RUNNER

MISSOULA, MT
NPI1861707622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  1063)
Enumeration Date2010-08-17
Last Update Date2010-08-17
Business Address
Ms. LOUELLA KELLY HEAVY RUNNER LAC
1325 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9800
Mailing Address
Ms. LOUELLA KELLY HEAVY RUNNER LAC
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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