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General NPI Number Information
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NPI Number | 1902544844
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Entity Type | Individual
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Provider Name | GIANNA MARIE LISHMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 21 N LAST CHANCE GULCH STE 201
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City | HELENA
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State | MT
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Zip | 59601-4108
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Country | US
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Telephone | 406-272-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 630 N RODNEY ST
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City | HELENA
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State | MT
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Zip | 59601-3756
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Country | US
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Telephone | 703-795-1415
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | BBH-LCSW-LIC-55767
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License Number State | MT
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