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1083791008
JAMES LEE WAHLBERG
MISSOULA, MT
NPI
1083791008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MT 109)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- JAMES LEE WAHLBERG PhD
2831 FORT MISSOULA ROAD SUITE 201
MISSOULA, MT 59804-7401
Phone number: 406-728-8818
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Mailing Address
-- JAMES LEE WAHLBERG PhD
2831 FORT MISSOULA ROAD SUITE 201
MISSOULA, MT 59804-7401
Phone number: 406-728-8818
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