Individual
JEAN-RAPHAEL DE RAOULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPC
Contact information
Practice address
100 WARREN AVE, GILLETTE, WY 82716-3728
(307) 682-2034
Mailing address
65 PARK LN, BUFFALO, WY 82834-2411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1379
WY
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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