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1922583293
CARLY KLEINERT
MISSOULA, MT
NPI
1922583293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT BBH-LAC-LIC-16926)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
CARLY KLEINERT
1325 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9800
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Mailing Address
CARLY KLEINERT
2677 PALMER ST STE 300
MISSOULA, MT 59808-1700
Phone number: 406-329-1543
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