Individual
PAUL BRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2802 W C ST, TORRINGTON, WY 82240-1834
(307) 532-0134
Mailing address
2802 W C ST, TORRINGTON, WY 82240-1834
(307) 532-0134
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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