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1548837339
SHANNON MARIE DEWITT
CASPER, WY
NPI
1548837339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY CAP-187)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
SHANNON MARIE DEWITT CAP
231 S WILSON ST
CASPER, WY 82601-2941
Phone number: 307-265-3791
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Mailing Address
SHANNON MARIE DEWITT CAP
231 S WILSON ST
CASPER, WY 82601-2941
Phone number: 307-265-3791
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