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Individual

MR. JAMES LEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1705 4TH AVE NW, MINOT, ND 58703-2912
(701) 839-0474
(701) 839-0713
Mailing address
1705 4TH AVE NW, MINOT, ND 58703-2912
(701) 839-0474
(701) 839-0713

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
582
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19164
ND
01
26591
BLUE CROSS BLUE SHIELD
ND
Enumeration date
11/07/2006
Last updated
07/08/2007
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