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Individual

GEORGIA LEE MATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
760 HOSPITAL CIRCLE, BROWNING, MT 59417
(406) 338-6425
(406) 338-6294
Mailing address
PO BOX 760, BROWNING, MT 59417-0760
(406) 338-6425
(406) 338-6294

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1593
MT
103T00000X
Psychologist
Primary
PY 60088363
WA

Other

Enumeration date
09/15/2010
Last updated
07/08/2013
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