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1710109038
LINDA M BLACKDEER
CASPER, WY
NPI
1710109038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY 063)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Miss LINDA M BLACKDEER CAP, BSW
254 N CENTER ST STE 103 3900 E 12TH ST # 416
CASPER, WY 82601-1926
Phone number: 307-235-2000
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Mailing Address
Miss LINDA M BLACKDEER CAP, BSW
254 N CENTER ST STE 103 3900 E 12TH ST # 416
CASPER, WY 82601-1926
Phone number: 307-235-2000
Copy
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