Soma Spirit Therapeutics Llc | |
507 S 4th St Ste B Laramie WY 82070-3753 | |
(307) 760-4775 | |
Not Available |
Full Name | Soma Spirit Therapeutics Llc |
---|---|
Speciality | Counselor - Professional |
Location | 507 S 4th St Ste B, Laramie, Wyoming |
Authorized Official Name and Position | Stephanie Joyce Hanson (OWNER) |
Authorized Official Contact | 3077604775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soma Spirit Therapeutics Llc 507 S 4th St Ste B Laramie WY 82070-3753 Ph: (307) 760-4775 | Soma Spirit Therapeutics Llc 507 S 4th St Ste B Laramie WY 82070-3753 Ph: (307) 760-4775 |
NPI Number | 1326726092 |
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Provider Enumeration Date | 07/11/2023 |
Last Update Date | 07/11/2023 |
Certification Date | 07/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326726092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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