Provider Information for 1457361917
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JUNE A O'CONNOR LCPC
Sex: Female
NPI: 1457361917
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1457361917 | ||||||||
| Enumeration Date | 2006-08-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | T-9 FORT MISSOULA MISSOULA, MT 59804-7202 United States Phone: 406-532-8400 | Fax: | ||||||||
| Primary Practice Address | 106 W BROADWAY ST BUTTE, MT 59701-9224 United States Phone: 406-723-5489 | Fax:406-782-4020 | ||||||||
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