JASON HENDRIK UITTERDYK

LARAMIE, WY
NPI1235562018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: WY  LPC-1277)
Enumeration Date2013-08-15
Last Update Date2013-08-15
Business Address
-- JASON HENDRIK UITTERDYK LPC
1465 N 4TH ST #119
LARAMIE, WY 82072-2066
Phone number: 307-721-0700
Mailing Address
-- JASON HENDRIK UITTERDYK LPC
1465 N 4TH ST #119
LARAMIE, WY 82072-2066
Phone number: 307-721-0700
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