Step-by-step Family Therapy A Professional Corporation | |
2020 E Grand Ave Ste 400 Laramie WY 82070-4388 | |
(307) 221-3707 | |
Not Available |
Full Name | Step-by-step Family Therapy A Professional Corporation |
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Speciality | Clinic/Center |
Location | 2020 E Grand Ave Ste 400, Laramie, Wyoming |
Authorized Official Name and Position | Vicki A Martin (PRESIDENT) |
Authorized Official Contact | 3072213707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Step-by-step Family Therapy A Professional Corporation 2404 Knoll Ct Laramie WY 82070-8937 Ph: (307) 221-3707 | Step-by-step Family Therapy A Professional Corporation 2020 E Grand Ave Ste 400 Laramie WY 82070-4388 Ph: (307) 221-3707 |
NPI Number | 1508207796 |
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Provider Enumeration Date | 07/16/2013 |
Last Update Date | 01/17/2024 |
Medicare PECOS PAC ID | 0042657140 |
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Medicare Enrollment ID | O20240325003791 |
Identifier | Type | State | Issuer |
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1508207796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Vicki Ann Martin |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1689853574 PECOS PAC ID: 1951748052 Enrollment ID: I20240325003825 |
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