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1265604961
BRYAN H VRALSTED
CHEYENNE, WY
NPI
1265604961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-1027)
Enumeration Date
2008-04-02
Last Update Date
2022-10-04
Business Address
BRYAN H VRALSTED LCSW
6900 ALDEN DR BLDG 160
CHEYENNE, WY 82005-2945
Phone number: 307-773-3186
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Mailing Address
BRYAN H VRALSTED LCSW
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005-2945
Phone number: 307-773-3186
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