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1922785351
LISANDRA JOSEPHINE HANNAH BANKS
MISSOULA, MT
NPI
1922785351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MT BBH-PCLC-LIC-63754)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
LISANDRA JOSEPHINE HANNAH BANKS PCLC
1724 FAIRVIEW AVE STE A
MISSOULA, MT 59801-7873
Phone number: 406-214-3810
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Mailing Address
LISANDRA JOSEPHINE HANNAH BANKS PCLC
2200 GARLAND DR APT 10
MISSOULA, MT 59803-2134
Phone number: 765-623-2033
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