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34 N Franklin Ave Ste 687 #5238 Pinedale WY 82941-9049 | |
| (801) 871-5468 | |
| (307) 314-0060 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 34 N Franklin Ave, Pinedale, Wyoming |
| Authorized Official Name and Position | Megan Elizabeth O'brien (OWNER/OPERATOR) |
| Authorized Official Contact | 8018715468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
34 N Franklin Ave Ste 687 #5238 Pinedale WY 82941-9049 Ph: (801) 871-5468 | 34 N Franklin Ave Ste 687 #5238 Pinedale WY 82941-9049 Ph: (801) 871-5468 |
| NPI Number | 1073027280 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073027280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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