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NPI Profile for RAYMOND R ANTONSEN in CHOTEAU, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1003683202 |
|
| Status | Active | |
| Credentials | MS, LAC | |
| Entity | Individual | |
| Enumeration date | 12/07/2023 | |
| Last updated | 01/02/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RAYMOND R ANTONSEN
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RAYMOND R ANTONSEN, MS, LAC