Individual
MRS. DEIDRE MAE PROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 S 7TH ST W, MISSOULA, MT 59804-1915
(406) 543-1912
Mailing address
3815 S 7TH ST W, MISSOULA, MT 59804-1915
(406) 543-1912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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