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1639700750
UNACCOMPANIED STUDENT INITIATIVE
CHEYENNE, WY
NPI
1639700750
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Entity Type
Organization
Authorized Contact
TAMARA MOORE
Executive Director
307-220-2391
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
UNACCOMPANIED STUDENT INITIATIVE
910 W FOX FARM RD
CHEYENNE, WY 82007-2674
Phone number: 307-220-2391
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Mailing Address
UNACCOMPANIED STUDENT INITIATIVE
PO BOX 22103
CHEYENNE, WY 82003-2030
Phone number:
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