MARTY RAY HUCKINS

GILLETTE, WY
NPI1356624019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  052)
Enumeration Date2011-09-20
Last Update Date2011-09-20
Business Address
Mr. MARTY RAY HUCKINS CAP, CCDC III, ICADC
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-688-5000
Mailing Address
Mr. MARTY RAY HUCKINS CAP, CCDC III, ICADC
501 SOUTH BURMA AVE.
GILLETTE, WY 82716-3426
Phone number: 307-688-5000
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