Provider Information for 1831135359
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Ms. PAULA LYNN EHRMANTRAUT MS MED LCPC CSP
Sex: Female
NPI: 1831135359
Last Updated: 2024-09-23
Certification Date: 2024-09-23
Certification Date: 2024-09-23
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1831135359 | ||||||||||||||||
| Enumeration Date | 2006-06-22 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 514 AMERICAS WAY PMB 2333 BOX ELDER, SD 57719 United States Phone: 406-853-6020 | Fax: | ||||||||||||||||
| Primary Practice Address | 514 AMERICAS WAY PMB 2333 BOX ELDER, SD 57719 United States Phone: 406-853-6020 | Fax: | ||||||||||||||||
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