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General NPI Number Information
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NPI Number | 1073013728
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Entity Type | Organization
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Legal Business Name | DEBBIE VIEGUT, LCSW, INC.
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 800 KENSINGTON AVE STE 211C
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City | MISSOULA
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State | MT
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Zip | 59801-5670
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Country | US
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Telephone | 406-531-4470
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Fax | 406-926-3009
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Provider Business Mailing Address
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Address Line | 3019 CRISCO LN
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City | MISSOULA
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State | MT
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Zip | 59803-9676
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Country | US
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Telephone | 406-531-4470
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Fax | 406-926-3009
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DEBBIE VIEGUT
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Credential | LCSW
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Telephone | 406-531-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 113637401
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License Number State | MT
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