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Individual
SANDRA L EICKMANN
Active
Individual
SANDRA L EICKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MPH, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0011233
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75248
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/28/2006
Last updated
09/22/2015
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