Individual
CASARA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 S 21ST ST, LARAMIE, WY 82070-4323
(307) 459-3670
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1389
WY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/02/2021
Last updated
06/05/2023
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