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Individual
SARAH PHINIZY GAMBLE KARLS
Active
Individual
SARAH PHINIZY GAMBLE KARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6248
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000749240
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
12/16/2013
Last updated
01/27/2014
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