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NPI Profile for LEANN J ANDERSON in SUPERIOR, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1386160976 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 08/16/2017 | |
| Last updated | 08/16/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LEANN J ANDERSON
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LEANN J ANDERSON, LAC