MATTHEW TY BARRUS

POWELL, WY
NPI1003100181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW-582)
Enumeration Date2011-06-06
Last Update Date2011-06-06
Business Address
-- MATTHEW TY BARRUS LCSW
1106 JULIE LN
POWELL, WY 82435-1632
Phone number: 307-271-7460
Mailing Address
-- MATTHEW TY BARRUS LCSW
862 RISEN SON RD
POWELL, WY 82435-8473
Phone number: 307-254-0575