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Individual

MR. EARL LEROY BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
1075 EAST MAIN STREET, FORSYTH, MT 59327
(406) 351-1820
(406) 346-1538
Mailing address
190 ROSEBUD STREET, P.O. BOX 1176, FORSYTH, MT 59327-1176
(406) 351-1820
(406) 346-1538

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1247
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257062
MT
01
743280
BLUECROSS BLUESHIELD
MT
Enumeration date
08/07/2006
Last updated
07/08/2007
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