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1922834373
SAMANTHA ELIZABETH CHASE
MISSOULA, MT
NPI
1922834373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT BBH-ACLC-LIC-72160)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
SAMANTHA ELIZABETH CHASE ACLC
202 BROOKS ST
MISSOULA, MT 59801-4019
Phone number: 406-926-1453
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Mailing Address
SAMANTHA ELIZABETH CHASE ACLC
133 WAPIKIYA DR
MISSOULA, MT 59803-1230
Phone number: 208-419-1830
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