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Organization
MIND ON THE MEND LLC
Active
Organization
MIND ON THE MEND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT MARQUISS MSSA, LCSW (PARTNER)
(307) 258-0716
Entity
Organization
Contact information
Practice address
701 ANTLER DR STE 206, CASPER, WY 82601-1749
(307) 439-5588
Mailing address
701 ANTLER DR STE 206, CASPER, WY 82601-1749
(307) 439-5588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
01/28/2025
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