| Integrative Well-being | |
|
1622 Shield St Laramie WY 82072-2333 | |
| (307) 760-5450 | |
| Not Available |
| Full Name | Integrative Well-being |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1622 Shield St, Laramie, Wyoming |
| Authorized Official Name and Position | Susan L Bertilson (OWNER) |
| Authorized Official Contact | 3077605450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Well-being 1622 Shield St Laramie WY 82072-2333 Ph: (307) 760-5450 | Integrative Well-being 1622 Shield St Laramie WY 82072-2333 Ph: (307) 760-5450 |
| NPI Number | 1033544150 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033544150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW606 (Wyoming) | Primary |
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