Individual
MR. CLARENCE VERN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 GREAT PLAINS ROAD, ARAPAHOE, WY 82510-0024
(307) 856-0470
(307) 857-4383
Mailing address
PO BOX 41, FORT WASHAKIE, WY 82514-0041
(307) 349-2243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WY
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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