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Mary Shull, OPTICIAN

NPI 1144609421 · on the registry since 2015

Practice

Address
111 N Higgins Ave
Suite 107
Missoula, MT 59802
Phone
(406) 327-9988
Fax
(406) 541-9981
Organisation at this address
Shape
Jak Shields, Llc
Abrei Cloud Lcsw Llc
Ohana Providers, Pllc
Glenn Blumenson Lcsw Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana