Individual
SARA C BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
389 ADAMS ST, AFTON, WY 83110
(307) 885-9883
Mailing address
901 ADAMS ST, AFTON, WY 83110-9621
(307) 885-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-673
WY
Other
Enumeration date
06/14/2016
Last updated
08/04/2021
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