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Individual

MR. RAOUL ANTHONY RIBEIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
115 SPRUCE ST, THOMPSON FALLS, MT 59873-9426
(406) 827-0345
Mailing address
115 SPRUCE ST, THOMPSON FALLS, MT 59873-9426
(406) 827-0345

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-4419
MT

Other

Enumeration date
01/30/2013
Last updated
01/30/2013
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