SHANE ROBERTS

POWELL, WY
NPI1063871002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-02-18
Last Update Date2016-03-08
Business Address
-- SHANE ROBERTS
1054 VALI RD
POWELL, WY 82435-9259
Phone number: 307-254-8129
Mailing Address
-- SHANE ROBERTS
1054 VALI RD
POWELL, WY 82435-9259
Phone number: 307-254-8129
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