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1952679631
JUSTIN WADE CLINE
MISSOULA, MT
NPI
1952679631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT 1001)
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
Mr. JUSTIN WADE CLINE LCSW
913 SW HIGGINS AVE SUITE 104 B
MISSOULA, MT 59803-1423
Phone number: 406-370-2379
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Mailing Address
Mr. JUSTIN WADE CLINE LCSW
913 SW HIGGINS AVE SUITE 104 B
MISSOULA, MT 59803-1461
Phone number: 406-370-2379
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