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Individual

PEGGY LOUISE BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1455 HIDDEN VALLEY RD, BOZEMAN, MT 59718
(406) 577-6517
(903) 596-8125
Mailing address
119 ANNIE GLADE DR, BOZEMAN, MT 59718
(406) 577-6517
(903) 596-8125

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
17637
TX
101Y00000X
Counselor
Primary
BBH-LCPC-LIC-16607
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
127576
CHIPS
TX
05
150784001
TX
01
83500L
BCBS
TX
Enumeration date
08/04/2006
Last updated
03/23/2017
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