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Individual

SHAUNDA WENGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1035 1ST AVE W STE 210, KALISPELL, MT 59901-5607
(406) 607-4938
Mailing address
PO BOX 3788, FARMINGTON, NM 87499-3788
(406) 262-3885

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0182351
NM
101YP2500X
Professional Counselor
Primary
LCPC 1529
MT

Other

Enumeration date
02/28/2011
Last updated
07/26/2021
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