DAVID DEMOREST

JACKSON, WY
NPI1841541679
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: WY  LPC 1288)
Enumeration Date2012-09-19
Last Update Date2012-12-19
Business Address
-- DAVID DEMOREST LPC(wyoming 1288)
7520 PORCUPINE CREEK RD
JACKSON, WY 83001
Phone number: 307-259-1865
Mailing Address
-- DAVID DEMOREST LPC(wyoming 1288)
P.O BOX 11390 610 W BROADWAY,
JACKSON, WY 83002
Phone number: 307-734-0017
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