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1194487702
AMANDA WILSON
ROCK SPRINGS, WY
NPI
1194487702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW-1678)
Enumeration Date
2021-10-11
Last Update Date
2024-06-25
Business Address
AMANDA WILSON
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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Mailing Address
AMANDA WILSON
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
Copy
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