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1649509084
TRUDYLYNN BIRKEMEYER FUNK
JACKSON, WY
NPI
1649509084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY 384)
Enumeration Date
2009-12-14
Last Update Date
2009-12-14
Business Address
-- TRUDYLYNN BIRKEMEYER FUNK LCSW
610 W. BROADWAY SUITES SUITE L1
JACKSON, WY 83001
Phone number: 307-733-3908
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Mailing Address
-- TRUDYLYNN BIRKEMEYER FUNK LCSW
PO BOX 11390
JACKSON, WY 83002-1390
Phone number: 307-733-3908
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