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1154491645
MARY K RICHARD
CHEYENNE, WY
NPI
1154491645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY 182)
Enumeration Date
2006-11-09
Last Update Date
2011-04-15
Business Address
-- MARY K RICHARD MA LPC LAT
2310 E 8TH ST
CHEYENNE, WY 82001-5256
Phone number: 307-634-6433
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Mailing Address
-- MARY K RICHARD MA LPC LAT
2310 E 8TH ST
CHEYENNE, WY 82001-5256
Phone number: 307-634-6433
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