STEPHAN BADGETT

THAYNE, WY
NPI1679118160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW-1148)
Enumeration Date2019-11-08
Last Update Date2019-11-08
Business Address
STEPHAN BADGETT LCSW
383 N MAIN ST
THAYNE, WY 83127
Phone number: 626-602-4818
Mailing Address
STEPHAN BADGETT LCSW
PO BOX 2624
JACKSON, WY 83001-2624
Phone number: 626-602-4818