Individual
ELIZABETH BRAIDED HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 E. EAGLE FEATHERS STREET, LAME DEER, MT 59043
(406) 477-4924
Mailing address
PO BOX 129, LAME DEER, MT 59043-0129
(406) 477-6722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-38696
MT
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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