Individual
MARISA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, CD(DONA)
Contact information
Practice address
1925 BURLINGTON AVE, MISSOULA, MT 59801-5427
(406) 880-2320
Mailing address
1925 BURLINGTON AVE, MISSOULA, MT 59801-5427
(406) 880-2320
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
472020364
MT
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/31/2014
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