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1881100519
DUSTY PACK
SHERIDAN, WY
NPI
1881100519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WY LPC-1702)
Enumeration Date
2017-12-18
Last Update Date
2017-12-18
Business Address
DUSTY PACK LPC
1898 FORT RD
SHERIDAN, WY 82801-8320
Phone number: 307-675-3891
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Mailing Address
DUSTY PACK LPC
1417 SPAULDING ST
SHERIDAN, WY 82801-2640
Phone number: 307-751-4235
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