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Individual

LINNEA MARIE WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
321 E MAIN ST, SUITE 402 C, BOZEMAN, MT 59715-6241
(406) 581-8492
Mailing address
321 E MAIN ST, SUITE 402 C, BOZEMAN, MT 59715-6241
(406) 581-8492
(406) 581-8492

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
250
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0255459
MT
01
740520
BLUE CROSS BLUE SHIELD
MT
Enumeration date
05/10/2007
Last updated
11/18/2011
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