Organization
PREMIER ADVOCACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPARKS (DIRECTOR)
(307) 414-0384
Entity
Organization
Contact information
Practice address
1465 N 4TH ST STE 111, LARAMIE, WY 82072-2066
(306) 414-0384
Mailing address
1465 N 4TH ST STE 111, LARAMIE, WY 82072-2066
(306) 414-0384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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