Provider Information for 1275144552
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WHITNEY DANZ LCSW
Sex: Female
NPI: 1275144552
Last Updated: 2021-07-23
Certification Date: 2021-07-23
Certification Date: 2021-07-23
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275144552 | ||||||||
| Enumeration Date | 2020-08-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1764 POLSON, MT 59860-1764 United States Phone: 406-270-3117 | Fax: | ||||||||
| Primary Practice Address | 220 MAIN ST POLSON, MT 59860-2167 United States Phone: 406-270-3117 | Fax: | ||||||||
| Secondary Practice Address(es) | 7935 MT HIGHWAY 35 STE 202 | ||||||||
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