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1720150436
SERVIO A. CARROLL
SHERIDAN, WY
NPI
1720150436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WY LPC- No. 12)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Mr. SERVIO A. CARROLL NCSP, LPC
108 S THURMOND ST
SHERIDAN, WY 82801-4145
Phone number: 307-752-6251
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Mailing Address
Mr. SERVIO A. CARROLL NCSP, LPC
511 AIRPORT RD
SHERIDAN, WY 82801-5801
Phone number: 307-672-6251
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