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Individual

ALLISON MAE WANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 483-0101
Mailing address
675 9TH AVE SW, DICKINSON, ND 58601-5845
(920) 737-9387

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1851
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
06/14/2023
Last updated
12/18/2023
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