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Individual

MRS. KERI LYNN DEGROAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.A.C.

Contact information

Practice address
310 S MAIN ST, CONRAD, MT 59425-2305
(406) 289-0222
(406) 278-7260
Mailing address
310 S MAIN ST, CONRAD, MT 59425-2305
(406) 289-0222
(406) 278-7260

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1377
MT

Other

Enumeration date
03/22/2011
Last updated
03/22/2011
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