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1902038201
CAROL FAYE DERBY
HELENA, MT
NPI
1902038201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1105)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
-- CAROL FAYE DERBY L.A.C.
111 N LAST CHANCE GULCH SUITE 1E
HELENA, MT 59601-4125
Phone number: 406-447-3265
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Mailing Address
-- CAROL FAYE DERBY L.A.C.
111 N LAST CHANCE GULCH SUITE 1E
HELENA, MT 59601-4125
Phone number: 406-447-3265
Copy
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