Individual
MRS. JULIE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
(307) 686-2121
Mailing address
3303 FITCH DR, GILLETTE, WY 82718-6211
(307) 660-6929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WY
Other
Enumeration date
08/24/2015
Last updated
02/07/2018
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