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Organization

INNERTHREAD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORDIE M LICCIARDI (MANAGER/ CREDENTIAL SPECIALIST)
(701) 580-4091
Entity
Organization

Contact information

Practice address
406 MAIN ST, WOLF POINT, MT 59201-1534
(406) 688-9740
Mailing address
283 MENDENHALL RD, WOLF POINT, MT 59201-7128
(406) 688-9740

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/20/2025
Last updated
10/20/2025
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