ELLIE VICTORIA SHATTUCK

BOZEMAN, MT
NPI1962274662
Former NameELLIE VICTORIA SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MT  BBH-PCLC-LIC-48422)
Enumeration Date2023-10-25
Last Update Date2023-10-25
Business Address
Mrs. ELLIE VICTORIA SHATTUCK PCLC
1970 STADIUM DR STE B
BOZEMAN, MT 59715-0623
Phone number: 704-574-0383
Mailing Address
Mrs. ELLIE VICTORIA SHATTUCK PCLC
500 WESTGATE AVE
BOZEMAN, MT 59718-2503
Phone number: 704-574-0383
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