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1386891430
MAIKE L TAN
PINEDALE, WY
NPI
1386891430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW-605)
Enumeration Date
2008-08-20
Last Update Date
2008-08-20
Business Address
Ms. MAIKE L TAN MSW LCSW
24 COUNTRY CLUB LANE
PINEDALE, WY 82941
Phone number: 307-367-2111
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Mailing Address
Ms. MAIKE L TAN MSW LCSW
PO BOX 856
PINEDALE, WY 82941-0856
Phone number: 307-367-2111
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