JUSTIN BURGESS

RAWLINS, WY
NPI1013377233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  CSW-252)
Enumeration Date2016-03-01
Last Update Date2016-05-18
Business Address
-- JUSTIN BURGESS CSW
721 W MAPLE ST
RAWLINS, WY 82301-5447
Phone number: 307-324-7156
Mailing Address
-- JUSTIN BURGESS CSW
721 W MAPLE ST
RAWLINS, WY 82301-5447
Phone number: 307-324-7156