Individual
SUZY GANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 S CACHE ST, SUITE 14, JACKSON, WY 83001-8222
(307) 690-5398
Mailing address
PO BOX 2299, JACKSON, WY 83001-2299
(307) 690-5398
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-951
WY
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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