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Individual

DEBRA C TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2801 S RUSSELL ST, SUITE 39, MISSOULA, MT 59801-7932
(406) 543-0929
Mailing address
286 SPEEDWAY AVE, MISSOULA, MT 59802-5468
(406) 543-0929

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
448
MT

Other

Enumeration date
01/27/2007
Last updated
07/08/2007
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