KAYLEE VIRGINIA BLACKWELL

MISSOULA, MT
NPI1902207160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  LAC-LAC-LIC-4154)
Enumeration Date2014-09-08
Last Update Date2014-09-08
Business Address
Mrs. KAYLEE VIRGINIA BLACKWELL LAC
1325 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9800
Mailing Address
Mrs. KAYLEE VIRGINIA BLACKWELL LAC
3255 LT MOSS RD
MISSOULA, MT 59804-7220
Phone number:
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