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1114164175
TODD HAMILTON BURDICK
CHEYENNE, WY
NPI
1114164175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 3243)
Enumeration Date
2009-01-13
Last Update Date
2009-01-13
Business Address
Dr. TODD HAMILTON BURDICK Ph.D.
5601 CANYON RD
CHEYENNE, WY 82009-4545
Phone number: 307-634-9082
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Mailing Address
Dr. TODD HAMILTON BURDICK Ph.D.
5601 CANYON RD
CHEYENNE, WY 82009-4545
Phone number: 307-634-9082
Copy
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