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Individual

MR. TOM MCGLOIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSE ADDICTION CO

Contact information

Practice address
25 W FRONT ST, BUTTE, MT 59701-2801
(406) 497-5070
(406) 782-5180
Mailing address
25 W FRONT ST, BUTTE, MT 59701-2801
(406) 497-5070
(406) 782-5180

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
234 -07
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00320047
MT
01
76708
PRIVATE INSURANCE PROVID
MT
Enumeration date
12/14/2006
Last updated
07/09/2007
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