Individual
COREY FUGLSANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 675-4100
Mailing address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 675-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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