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Organization

STACEY DE WITT LCPC LLC (STACEY M DE WITT SOLE MBR)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY M DE WITT LCPC (OWNER/THERAPIST)
(406) 529-5121
Entity
Organization

Contact information

Practice address
725 W ALDER ST STE 10, MISSOULA, MT 59802-4099
(406) 529-5121
Mailing address
PO BOX 134, LOLO, MT 59847-0134
(406) 529-5121

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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