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Organization
MAGELLAN HEALTHCARE OF WYOMING
Active
Organization
MAGELLAN HEALTHCARE OF WYOMING
Active
Other names
Blue Sky Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HERON M.D. (MANAGING DIRECTOR)
(307) 851-3955
Entity
Organization
Contact information
Practice address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(307) 851-3955
Mailing address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(307) 851-3955
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
WY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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