Individual
JASON MICHAEL SVARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 N 4TH ST STE 103, LARAMIE, WY 82072-2091
(307) 721-0700
(307) 721-1039
Mailing address
1818 ORD ST, LARAMIE, WY 82070-4739
(307) 399-4354
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1077
WY
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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