Individual
DUSTIN RIFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
610 W BROADWAY AVE, JACKSON, WY 83001-8213
(307) 733-3908
Mailing address
PO BOX 11390, JACKSON, WY 83002-1390
(307) 733-3908
(307) 734-0017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1743
WY
Other
Enumeration date
07/02/2015
Last updated
01/31/2025
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