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Individual

MINA BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASE MANAGER

Contact information

Practice address
1040 BLACK BLVD, LANDER, WY 82520-2607
(307) 438-2396
Mailing address
1040 BLACK BLVD, LANDER, WY 82520-2607
(307) 438-2396

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator
Primary
WY

Other

Enumeration date
07/11/2023
Last updated
06/25/2026
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