Provider Information for 1336545458
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MAGGIE SHUTEY LCPC
Sex: Female
NPI: 1336545458
Last Updated: 2014-11-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1336545458 | ||||||||
| Enumeration Date | 2014-11-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 81 W PARK ST BUTTE, MT 59701-1713 United States Phone: 406-723-1694 | Fax:406-723-1690 | ||||||||
| Primary Practice Address | 2600 GRAND AVE BUTTE, MT 59701-5025 United States Phone: 406-533-2636 | Fax:406-533-2600 | ||||||||
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