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1528549383
MARY BURGESS
SHERIDAN, WY
NPI
1528549383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY PCSW-804)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
MARY BURGESS
1221 W 5TH ST
SHERIDAN, WY 82801-2701
Phone number: 307-674-4405
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Mailing Address
MARY BURGESS
1221 W 5TH ST
SHERIDAN, WY 82801-2701
Phone number:
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