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1013377233
JUSTIN BURGESS
RAWLINS, WY
NPI
1013377233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY CSW-252)
Enumeration Date
2016-03-01
Last Update Date
2016-05-18
Business Address
-- JUSTIN BURGESS CSW
721 W MAPLE ST
RAWLINS, WY 82301-5447
Phone number: 307-324-7156
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Mailing Address
-- JUSTIN BURGESS CSW
721 W MAPLE ST
RAWLINS, WY 82301-5447
Phone number: 307-324-7156
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