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Individual

ALLISON RENE SANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
31733 S FORK YAAK RD, TROY, MT 59935-8681
(406) 295-5401
Mailing address
31733 S FORK YAAK RD, TROY, MT 59935-8681

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043547383
1043547383
MT
Enumeration date
07/13/2017
Last updated
07/13/2017
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