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Organization
THERAPY BEAR, PLLC
Active
Organization
THERAPY BEAR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANNON LCSW (THERAPIST)
(406) 319-5821
Entity
Organization
Contact information
Practice address
2112 DIXON AVE, MISSOULA, MT 59801-8226
(406) 319-5821
Mailing address
PO BOX 7495, MISSOULA, MT 59807-7495
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
02/26/2023
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