Organization
RED TOP MEADOWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BURKLAND (DIRECTOR)
(307) 733-9098
Entity
Organization
Contact information
Practice address
7905 S. FALL CREEK RD., WILSON, WY 83014
(307) 733-9098
(307) 733-7672
Mailing address
PO BOX 290, WILSON, WY 83014-0290
(307) 733-9098
(307) 733-7672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMHW-057
WY
1041C0700X
Clinical Social Worker
Primary
LCSW#470
WY
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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