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1063829976
SUE BLAYRE-WHITE
CHEYENNE, WY
NPI
1063829976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY LAT-346)
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
Ms. SUE BLAYRE-WHITE MS, LAT, NCACII, DOT
1623 CENTRAL AVE
CHEYENNE, WY 82001
Phone number: 307-275-0423
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Mailing Address
Ms. SUE BLAYRE-WHITE MS, LAT, NCACII, DOT
P.O. BOX 22049
CHEYENNE, WY 82003
Phone number: 307-275-0423
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