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Individual
MR. PAUL D SELLS
Active
Individual
MR. PAUL D SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MT457
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71475
BLUE CROSS SHIELD
MT
Enumeration date
01/10/2007
Last updated
07/08/2007
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