Individual
MRS. TRACY LAUREL BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1305 WYOMING STREET, MISSOULA, MT 59804
(506) 532-9770
(406) 541-3034
Mailing address
3255 LT. MOSS ROAD, MISSOULA, MT 59804-7298
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4780
MT
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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