DEREK WAITE

SHERIDAN, WY
NPI1144794751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW-1633)
Enumeration Date2019-01-16
Last Update Date2024-11-21
Business Address
DEREK WAITE
1898 FORT RD
SHERIDAN, WY 82801-8320
Phone number: 307-675-3150
Mailing Address
DEREK WAITE
1898 FORT RD
SHERIDAN, WY 82801-8320
Phone number: 307-675-3150
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