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1821423278
TRACI LYNN BLEVINS
CASPER, WY
NPI
1821423278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY 998)
Enumeration Date
2013-09-04
Last Update Date
2020-07-08
Business Address
TRACI LYNN BLEVINS LCSW
1656 E 12TH ST
CASPER, WY 82601-4004
Phone number: 307-577-5718
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Mailing Address
TRACI LYNN BLEVINS LCSW
535 W YELLOWSTONE HWY
CASPER, WY 82601-7507
Phone number: 307-233-4277
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