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1912245812
RICHARD ALLEN EDWARDS
MISSOULA, MT
NPI
1912245812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 2609)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- RICHARD ALLEN EDWARDS LAC
1467 HAYES DR
MISSOULA, MT 59808-1231
Phone number: 406-532-8952
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Mailing Address
-- RICHARD ALLEN EDWARDS LAC
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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