| Living Well Pc | |
|
2510 E 15th St Suite 11 Casper WY 82609-4111 | |
| (307) 234-9979 | |
| (307) 234-9989 |
| Full Name | Living Well Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2510 E 15th St, Casper, Wyoming |
| Authorized Official Name and Position | Tricia R Miller (PRESIDENT) |
| Authorized Official Contact | 3072349979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Pc 2510 E 15th St Suite 11 Casper WY 82609-4111 Ph: (307) 234-9979 | Living Well Pc 2510 E 15th St Suite 11 Casper WY 82609-4111 Ph: (307) 234-9979 |
| NPI Number | 1326342023 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326342023 | NPI | - | NPPES |
| 130674000 | Medicaid | WY |
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