Individual
MARILYN M BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, CSW, CAP
Contact information
Practice address
755 PATCHES, CARPENTER, WY 82054-9403
(307) 267-0505
Mailing address
755 PATCHES, CARPENTER, WY 82054-9403
(307) 267-0505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP-131
WY
1041C0700X
Clinical Social Worker
Primary
CSW-234
WY
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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