WILLIAM NOLAN SAGE

RIVERTON, WY
NPI1770944902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  LAT-225)
Enumeration Date2016-03-16
Last Update Date2016-03-16
Business Address
-- WILLIAM NOLAN SAGE L.A.T.
10269 HWY. 789
RIVERTON, WY 82501
Phone number: 307-857-9456
Mailing Address
-- WILLIAM NOLAN SAGE L.A.T.
PO BOX 1989
RIVERTON, WY 82501-0240
Phone number: 307-857-9456
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