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Individual

JANET R ALLISON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
128 S 6TH WEST, MISSOULA, MT 59801
(406) 543-8415
Mailing address
128 S 6TH WEST, MISSOULA, MT 59801
(406) 543-8415

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
87
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051780
BCBS
05
490139
MT
Enumeration date
01/11/2006
Last updated
07/08/2007
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