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1821381906
BARRY PETERSON
CHEYENNE, WY
NPI
1821381906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY CSW-115)
Enumeration Date
2011-05-23
Last Update Date
2011-05-23
Business Address
-- BARRY PETERSON CSW
3304 E I-80 SERVICE RD
CHEYENNE, WY 82009-8781
Phone number: 307-633-8040
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Mailing Address
-- BARRY PETERSON CSW
3304 E I-80 SERVICE RD
CHEYENNE, WY 82009-8781
Phone number: 307-633-8040
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