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1093424426
STEPHEN HARBOUR
GILLETTE, WY
NPI
1093424426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WY CAP-189)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
STEPHEN HARBOUR
1299 RAYMOND ST
GILLETTE, WY 82718-6980
Phone number: 307-682-8505
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Mailing Address
STEPHEN HARBOUR
108 COLLEGE PARK CIR
GILLETTE, WY 82718-9463
Phone number: 307-751-6477
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