Individual
MRS. STEPHANIE RUTH PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
(307) 742-6146
Mailing address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
(307) 742-6146
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
07/20/2015
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