Individual
SARA BURSAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 S 12TH ST, LARAMIE, WY 82070-4021
(573) 673-0062
Mailing address
515 S 12TH ST, LARAMIE, WY 82070-4021
(573) 673-0062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1360
WY
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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