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1912127770
GWEN FARNSWORTH
MISSOULA, MT
NPI
1912127770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MT 588)
Enumeration Date
2007-04-26
Last Update Date
2007-07-09
Business Address
Ms. GWEN FARNSWORTH LCPC
30 FORT MISSOULA # 10
MISSOULA, MT 59804-7203
Phone number: 406-728-6065
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Mailing Address
Ms. GWEN FARNSWORTH LCPC
30 FORT MISSOULA # 10
MISSOULA, MT 59804-7203
Phone number: 406-728-6065
Copy
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