WILLIAM SHUTTS

DOUGLAS, WY
NPI1932589579
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WY  PPC# 638)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  LAT #351)
Enumeration Date2015-06-08
Last Update Date2015-06-08
Business Address
-- WILLIAM SHUTTS
1841 MADORA AVE
DOUGLAS, WY 82633-3057
Phone number: 307-358-2846
Mailing Address
-- WILLIAM SHUTTS
1841 MADORA AVE
DOUGLAS, WY 82633-3057
Phone number: 307-358-2846